Mears, Jennifer L

Mears, Jennifer L is an individual health care provider with primary practice located at 5525 Cedar Lake Rd S , St Louis Park MN 55416-1420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mears, Jennifer L can be contacted via phone (952) 541-7157.

Contact Information

Primary practice address
5525 Cedar Lake Rd S St Louis Park MN 55416-1420
Phone: (952) 541-7157
Fax: (952) 544-0587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 144789-5 Minnesota

Profile Details

NPI number 1861471666
LBN Legal business name Mears, Jennifer L
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jun 6th, 2014 - about 12 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 1861471666 NPPES
Minnesota MEDICAID 450680400

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