Sears, Jennifer Keeley
Sears, Jennifer Keeley is an individual health care provider with primary practice located at 482 Interstate Dr , Manchester TN 37355-3485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sears, Jennifer Keeley can be contacted via phone (931) 728-4718.Contact Information
Primary practice address
482 Interstate Dr
Manchester TN 37355-3485
Phone: (931) 728-4718
Fax: (931) 728-1016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 16768 | Tennessee |
Profile Details
| NPI number | 1245480193 |
|---|---|
| LBN Legal business name | Sears, Jennifer Keeley |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Dec 6th, 2023 - about 3 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 | 1245480193 | NPPES |
| Tennessee | Other | 16768 | LICENSE |
| Tennessee | Other | 9214342 | LICENSE |
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