Counceller, Jennifer L.

Counceller, Jennifer L. is an individual health care provider with primary practice located at 1473 E State Road 44 Whitewater Valley Primary Care, Connersville IN 47331-8374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Counceller, Jennifer L. can be contacted via phone (765) 825-8446.

Contact Information

Primary practice address
1473 E State Road 44 Whitewater Valley Primary Care Connersville IN 47331-8374
Phone: (765) 825-8446
Fax: (765) 827-0013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005873A Indiana

Profile Details

NPI number 1750752853
LBN Legal business name Counceller, Jennifer L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated May 13th, 2021 - about 5 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 1750752853 NPPES
Indiana MEDICAID 201325910
Indiana MEDICAID 0150521
Indiana Other 000000965537

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