Starrs, Jennifer Jo

Starrs, Jennifer Jo is an individual health care provider with primary practice located at 20952 E 12 Mile Rd Suite 200, Saint Clair Shores MI 48081-3200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Starrs, Jennifer Jo can be contacted via phone (586) 771-4820.

Contact Information

Primary practice address
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200
Phone: (586) 771-4820
Fax: (586) 771-6620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209007280 Illinois

Profile Details

NPI number 1629223821
LBN Legal business name Starrs, Jennifer Jo
Credentials RN, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Jun 18th, 2013 - about 13 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 1629223821 NPPES
Michigan Other CB9133 RAILROAD MEDICARE

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