Green, Jennifer Louise
Green, Jennifer Louise is an individual health care provider with primary practice located at 1600 S Lake Park Ave Ste 1103, Hobart IN 46342-6641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Jennifer Louise can be contacted via phone (219) 947-6448.Contact Information
Primary practice address
1600 S Lake Park Ave Ste 1103
Hobart IN 46342-6641
Phone: (219) 947-6448
Fax: (219) 947-6839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003567A | Indiana |
Profile Details
| NPI number | 1649570219 |
|---|---|
| LBN Legal business name | Green, Jennifer Louise |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Apr 19th, 2011 - about 15 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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