Ishmael, Jennifer Anne

Ishmael, Jennifer Anne is an individual health care provider with primary practice located at 950 N 14Th St Ste 100 , Beaumont TX 77702-1112. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ishmael, Jennifer Anne can be contacted via phone (409) 833-5858.

Contact Information

Primary practice address
950 N 14Th St Ste 100 Beaumont TX 77702-1112
Phone: (409) 833-5858
Fax: (409) 833-1155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 750272 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 750272 Texas

Profile Details

NPI number 1245570407
LBN Legal business name Ishmael, Jennifer Anne
Credentials MSN, CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Feb 20th, 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 1245570407 NPPES
Texas MEDICAID 364877601

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