Massarelli, Jennifer

Massarelli, Jennifer is an individual health care provider with primary practice located at 2215 Fuller Rd , Ann Arbor MI 48105-2303. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Massarelli, Jennifer can be contacted via phone (734) 769-7100.

Contact Information

Primary practice address
2215 Fuller Rd Ann Arbor MI 48105-2303
Phone: (734) 769-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 276298 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN276298 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704344082 Michigan

Profile Details

NPI number 1093057580
LBN Legal business name Massarelli, Jennifer
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Oct 25th, 2022 - about 4 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 1093057580 NPPES
Massachusetts Other 276298 LICENSE
Massachusetts Other 4704344082 LICENSE

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