Smith, Jennifer E

Smith, Jennifer E is an individual health care provider with primary practice located at 55 W Tietan St , Walla Walla WA 99362-4445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Jennifer E can be contacted via phone (509) 525-3720.

Contact Information

Primary practice address
55 W Tietan St Walla Walla WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30001837 Washington

Profile Details

NPI number 1720052426
LBN Legal business name Smith, Jennifer E
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 27th, 2007 - about 19 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 1720052426 NPPES
Oregon MEDICAID 116298
Oregon MEDICAID 9607623
Oregon Other 50733

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