Liska Conner, Jennifer L
Liska Conner, Jennifer L is an individual health care provider with primary practice located at 1507 S Hiawassee Rd Ste 107 , Orlando FL 32835-5706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Liska Conner, Jennifer L can be contacted via phone (407) 445-9545.Contact Information
Primary practice address
1507 S Hiawassee Rd Ste 107
Orlando FL 32835-5706
Phone: (407) 445-9545
Fax: (407) 445-9545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 11002903 | Florida |
| Nursing Service Providers / Gerontology | 163WG0600X | 2279 | Wisconsin |
Profile Details
| NPI number | 1336284660 |
|---|---|
| LBN Legal business name | Liska Conner, Jennifer L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336284660 | NPPES |
| Wisconsin | MEDICAID | 41252100 |
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