Smith-Otte, Jennifer Elizabeth
Smith-Otte, Jennifer Elizabeth is an individual health care provider with primary practice located at 121 S 8Th St Suite 600, Minneapolis MN 55402-2841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith-Otte, Jennifer Elizabeth can be contacted via phone (612) 333-4822.Contact Information
Primary practice address
121 S 8Th St Suite 600
Minneapolis MN 55402-2841
Phone: (612) 333-4822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | R1374395 | Minnesota |
Profile Details
| NPI number | 1285607390 |
|---|---|
| LBN Legal business name | Smith-Otte, Jennifer Elizabeth |
| Credentials | RN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Mar 23rd, 2021 - about 5 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 | 1285607390 | NPPES |
| Minnesota | MEDICAID | 478114700 |
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