Ivory, Jennifer L

Ivory, Jennifer L is an individual health care provider with primary practice located at 777 N Crusey Street Suite B101 , Wasilla AK 99654. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ivory, Jennifer L can be contacted via phone (907) 746-3445.

Contact Information

Primary practice address
777 N Crusey Street Suite B101 Wasilla AK 99654
Phone: (907) 746-3445
Fax: (907) 746-3439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326403494
LBN Legal business name Ivory, Jennifer L
Credentials CBIS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Oct 20th, 2021 - about 5 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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