Lenfestey-Demont, Jacqueline Sue

Lenfestey-Demont, Jacqueline Sue is an individual health care provider with primary practice located at 1215 Lawn Ave Ste 120, Elkhart IN 46514-2450. 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 / Oncology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lenfestey-Demont, Jacqueline Sue can be contacted via phone (574) 523-2733.

Contact Information

Primary practice address
1215 Lawn Ave Ste 120 Elkhart IN 46514-2450
Phone: (574) 523-2733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704255722 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 71002535A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 70000200A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002535A Indiana

Profile Details

NPI number 1578689782
LBN Legal business name Lenfestey-Demont, Jacqueline Sue
Credentials MSN, APRN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated May 1st, 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 1578689782 NPPES
Indiana MEDICAID 200862570

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