Bournias, Jannine Denise
Bournias, Jannine Denise is an individual health care provider with primary practice located at 100 Medical Center Way , Somers Point NJ 08244-2300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bournias, Jannine Denise can be contacted via phone (609) 653-3500.Contact Information
Primary practice address
100 Medical Center Way
Somers Point NJ 08244-2300
Phone: (609) 653-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NJ00991600 | New Jersey |
Profile Details
| NPI number | 1568096972 |
|---|---|
| LBN Legal business name | Bournias, Jannine Denise |
| Credentials | AGNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2020 |
| Last updated | Feb 25th, 2020 - about 6 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 | 1568096972 | NPPES |
| New Jersey | MEDICAID | 26NJ00991600 |
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