Kittler, Jennifer Lynne

Kittler, Jennifer Lynne is an sole proprietor health care provider with primary practice located at 128 Highland Pkwy Ste 200 , Picayune MS 39466-5578. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kittler, Jennifer Lynne can be contacted via phone (601) 358-9630.

Contact Information

Primary practice address
128 Highland Pkwy Ste 200 Picayune MS 39466-5578
Phone: (601) 358-9630
Fax: (601) 358-9640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 903118 Mississippi

Profile Details

NPI number 1417415027
LBN Legal business name Kittler, Jennifer Lynne
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2019
Last updated Aug 30th, 2019 - about 7 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 1417415027 NPPES
Mississippi MEDICAID 04321700

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