Hayes, Jennifer M

Hayes, Jennifer M is an individual health care provider with primary practice located at 377 W River Woods Pkwy Ste 201 , Glendale WI 53212-1088. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hayes, Jennifer M can be contacted via phone (414) 323-6880.

Contact Information

Primary practice address
377 W River Woods Pkwy Ste 201 Glendale WI 53212-1088
Phone: (414) 323-6880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 918-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 918-023 Wisconsin

Profile Details

NPI number 1619925542
LBN Legal business name Hayes, Jennifer M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 8th, 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 1619925542 NPPES
Wisconsin MEDICAID 42969700
Wisconsin Other 9114

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