Cumicek, Jennifer Lynn

Cumicek, Jennifer Lynn is an individual health care provider with primary practice located at 720 S Vanburen St Suite 201, Green Bay WI 54301-3534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cumicek, Jennifer Lynn can be contacted via phone (920) 433-7488.

Contact Information

Primary practice address
720 S Vanburen St Suite 201 Green Bay WI 54301-3534
Phone: (920) 433-7488
Fax: (920) 433-7439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7085-33 Wisconsin

Profile Details

NPI number 1285181818
LBN Legal business name Cumicek, Jennifer Lynn
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Jul 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285181818 NPPES
Other 2016012072 AMERICAN NURSES CREDENTIALING CENTER

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