Tuten, Jennifer Mitchell

Tuten, Jennifer Mitchell is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Tuten, Jennifer Mitchell can be contacted via phone (770) 794-0477.

Contact Information

Primary practice address
677 Church St Ne Marietta GA 30060-1101
Phone: (770) 794-0477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 4662 Georgia

Profile Details

NPI number 1598751604
LBN Legal business name Tuten, Jennifer Mitchell
Credentials PAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 21st, 2022 - about 4 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 1598751604 NPPES
Georgia MEDICAID 655512140G

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