Delarber, Jennifer Lynn
Delarber, Jennifer Lynn is an individual health care provider with primary practice located at 508 Gordon Ave , Thomasville GA 31792-6646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Delarber, Jennifer Lynn can be contacted via phone (229) 226-0125.Contact Information
Primary practice address
508 Gordon Ave
Thomasville GA 31792-6646
Phone: (229) 226-0125
Fax: (229) 226-0195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004582 | Georgia |
Profile Details
| NPI number | 1558357087 |
|---|---|
| LBN Legal business name | Delarber, Jennifer Lynn |
| Credentials | P.A.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 9th, 2013 - about 13 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 | 1558357087 | NPPES |
| Georgia | MEDICAID | 448826836A |
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