Carpinello, Jeniffer Carol
Carpinello, Jeniffer Carol is an individual health care provider with primary practice located at 200 S Enota Dr Ne Suite 200, Gainesville GA 30501-3473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carpinello, Jeniffer Carol can be contacted via phone (770) 534-2020.Contact Information
Primary practice address
200 S Enota Dr Ne Suite 200
Gainesville GA 30501-3473
Phone: (770) 534-2020
Fax: (770) 534-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN120116 | Georgia |
Profile Details
| NPI number | 1760459630 |
|---|---|
| LBN Legal business name | Carpinello, Jeniffer Carol |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 24th, 2007 - about 19 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 | 1760459630 | NPPES |
| Georgia | Other | 10053121 | AMERIGROUP |
| Georgia | MEDICAID | 0008947616C | AMERIGROUP |
| Georgia | Other | 340826 | AMERIGROUP |
| Georgia | Other | P00094015 | AMERIGROUP |
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