Mata, Jennifer Jean

Mata, Jennifer Jean is an individual health care provider with primary practice located at 1414 Stewart Rd , Monroe MI 48162-9228. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Mata, Jennifer Jean can be contacted via phone (734) 242-8880.

Contact Information

Primary practice address
1414 Stewart Rd Monroe MI 48162-9228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 4704305266 Michigan

Profile Details

NPI number 1831738079
LBN Legal business name Mata, Jennifer Jean
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - 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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