Connell, Jennifer L

Connell, Jennifer L is an sole proprietor health care provider with primary practice located at 3399 Pollock Rd , Grand Blanc MI 48439-8395. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Connell, Jennifer L can be contacted via phone (810) 603-0170.

Contact Information

Primary practice address
3399 Pollock Rd Grand Blanc MI 48439-8395
Phone: (810) 603-0170
Fax: (810) 603-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 470424233 Michigan

Profile Details

NPI number 1578881827
LBN Legal business name Connell, Jennifer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2010
Last updated Mar 17th, 2018 - about 8 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 1578881827 NPPES
Michigan Other 470424233 STATE LICENSE
Michigan Other JC24233 STATE LICENSE

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