Blume, Jennifer Nicolle

Blume, Jennifer Nicolle is an individual health care provider with primary practice located at 1026 A Ave Ne , Cedar Rapids IA 52402-5036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blume, Jennifer Nicolle can be contacted via phone (319) 369-7959.

Contact Information

Primary practice address
1026 A Ave Ne Cedar Rapids IA 52402-5036
Phone: (319) 369-7959
Fax: (319) 369-7812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 115071 Iowa

Profile Details

NPI number 1407166473
LBN Legal business name Blume, Jennifer Nicolle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2010
Last updated Oct 8th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407166473 NPPES
Iowa MEDICAID 0600452

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