Wukasch, Jessica
Wukasch, Jessica is an individual health care provider with primary practice located at 2006 Brookwood Medical Ctr Dr Ste 402 , Homewood AL 35209-6823. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wukasch, Jessica can be contacted via phone (205) 397-9000.Contact Information
Primary practice address
2006 Brookwood Medical Ctr Dr Ste 402
Homewood AL 35209-6823
Phone: (205) 397-9000
Fax: (205) 397-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 196729 | Tennessee |
| Nursing Service Providers / Registered Nurse | 163W00000X | 1117405 | Alabama |
| Nursing Service Providers / Registered Nurse | 163W00000X | 800037 | Texas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 106377 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 98172 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 17946 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 005027 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1117405 | Alabama |
Profile Details
| NPI number | 1922354992 |
|---|---|
| LBN Legal business name | Wukasch, Jessica |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2012 |
| Last updated | May 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922354992 | NPPES |
| Tennessee | MEDICAID | 1533415 | |
| Tennessee | MEDICAID | 004236346 |
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