Jessica M Staples in Fridley - Physician Assistant
Jessica M Staples - NPI 1356544274
Jessica M Staples is a Physician Assistant in Fridley, Minnesota. Jessica M Staples practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica M Staples is 1356544274. The last update date is 2018-10-02.
Jessica M Staples's current location address is 8290 University Ave Ne Ste 200, Fridley, Minnesota. You can contact this provider via phone number 7637869543 and fax number 7637863320. The mailing address for Jessica M Staples is 8290 University Ave Ne Ste 200, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica M Staples |
|---|---|
| Address | 8290 University Ave Ne Ste 200, Fridley, Minnesota |
| Phone Number | 7637869543 |
| Fax Number | 7637863320 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356544274 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2018-10-02 |
Provider Mailing Address Detail
| Address | 8290 University Ave Ne Ste 200 |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554321876 |
| Phone Number | 7637869543 |
| Fax Number | 7637863320 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10271 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1356544274 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jessica M Staples by the Centers for Medicare & Medicaid Services?
The Jessica M Staples has been assigned the NPI (National Provider Identifier) 1356544274 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jessica M Staples is physically located?
The Jessica M Staples is situated at the following address: 8290 University Ave Ne Ste 200, Fridley, MN 554321876.
What is Jessica M Staples's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica M Staples is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356544274 to Jessica M Staples?
The Centers for Medicare & Medicaid Services originally issued the 1356544274 to Jessica M Staples on 2007-06-07.
As of what date were the Jessica M Staples's details last updated?
The information pertaining to the Jessica M Staples, including its address, specialty, and other details, was most recently updated on 2018-10-02.