Mersereau, Jennifer E.

Mersereau, Jennifer E. is an individual health care provider with primary practice located at 300 Keisler Dr Ste 102 , Cary NC 27518-7083. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Mersereau, Jennifer E. can be contacted via phone (984) 464-2244.

Contact Information

Primary practice address
300 Keisler Dr Ste 102 Cary NC 27518-7083
Phone: (984) 464-2244
Fax: (984) 464-3160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-107405 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A85943 California
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 2007-00448 North Carolina

Profile Details

NPI number 1316980915
LBN Legal business name Mersereau, Jennifer E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 20th, 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 1316980915 NPPES
California MEDICAID 00A859430

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