Healey, Jenny Lyn

Healey, Jenny Lyn is an individual health care provider with primary practice located at 111 Brewster St , Pawtucket RI 02860-4474. 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. Healey, Jenny Lyn can be contacted via phone (401) 729-2000.

Contact Information

Primary practice address
111 Brewster St Pawtucket RI 02860-4474
Phone: (401) 729-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00681 Rhode Island

Profile Details

NPI number 1700972528
LBN Legal business name Healey, Jenny Lyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 3rd, 2024 - about 2 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 1700972528 NPPES
Florida MEDICAID 000835100

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