Payano Stark, Jenessa

Payano Stark, Jenessa is an individual health care provider with primary practice located at 167 Main St , Tuba City AZ 86045. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Payano Stark, Jenessa can be contacted via phone (866) 976-5941.

Contact Information

Primary practice address
167 Main St Tuba City AZ 86045
Phone: (866) 976-5941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1036 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Minnesota

Profile Details

NPI number 1821428517
LBN Legal business name Payano Stark, Jenessa
Credentials CNM, CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2013
Last updated Aug 30th, 2019 - about 7 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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