Smith, Jennifer Carol
Smith, Jennifer Carol is an individual health care provider with primary practice located at 4805 S Moorland Rd , New Berlin WI 53151-7401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Jennifer Carol can be contacted via phone (262) 257-5100.Contact Information
Primary practice address
4805 S Moorland Rd
New Berlin WI 53151-7401
Phone: (262) 257-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7291-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7291-33 | Wisconsin |
Profile Details
| NPI number | 1962951152 |
|---|---|
| LBN Legal business name | Smith, Jennifer Carol |
| Credentials | FNP-BC, APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2016 |
| Last updated | Apr 5th, 2024 - about 2 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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