Neilsen, Jennifer Ann
Neilsen, Jennifer Ann is an individual health care provider with primary practice located at 2150 Shipyard Blvd , Wilmington NC 28403-8052. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Neilsen, Jennifer Ann can be contacted via phone (910) 662-9300.Contact Information
Primary practice address
2150 Shipyard Blvd
Wilmington NC 28403-8052
Phone: (910) 662-9300
Fax: (910) 662-9301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2002-00969 | North Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 200200969 | North Carolina |
Profile Details
| NPI number | 1881648111 |
|---|---|
| LBN Legal business name | Neilsen, Jennifer Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881648111 | NPPES |
| North Carolina | Other | 214649 | MEDCOST |
| North Carolina | Other | 142K8 | MEDCOST |
| North Carolina | MEDICAID | 5904020 | MEDCOST |
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