Griffin, Jennifer Kathleen

Griffin, Jennifer Kathleen is an individual health care provider with primary practice located at 32128 Broken Branch Cir , Spanish Fort AL 36527-6000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Griffin, Jennifer Kathleen can be contacted via phone (251) 626-6757.

Contact Information

Primary practice address
32128 Broken Branch Cir Spanish Fort AL 36527-6000
Phone: (251) 626-6757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21889 Mississippi
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1609002500
LBN Legal business name Griffin, Jennifer Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2009
Last updated Oct 19th, 2023 - about 3 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 1609002500 NPPES
Mississippi MEDICAID 02682506

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