Stire, Jennifer L.
Stire, Jennifer L. is an individual health care provider with primary practice located at 1319 Sunset Dr Ste 103 , Johnson City TN 37604-7901. 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. Stire, Jennifer L. can be contacted via phone (423) 439-7246.Contact Information
Primary practice address
1319 Sunset Dr Ste 103
Johnson City TN 37604-7901
Phone: (423) 439-7246
Fax: (423) 282-4698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | NP22025 | Tennessee |
Profile Details
| NPI number | 1912438706 |
|---|---|
| LBN Legal business name | Stire, Jennifer L. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Jan 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912438706 | NPPES |
| Tennessee | MEDICAID | Q028004 |
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