Vought, Jennifer Lynn

Vought, Jennifer Lynn is an individual health care provider with primary practice located at 1145 Shenandoah Lane Telesis Adult Correction Fac., Plymouth MN 55447. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Vought, Jennifer Lynn can be contacted via phone (612) 596-0099.

Contact Information

Primary practice address
1145 Shenandoah Lane Telesis Adult Correction Fac. Plymouth MN 55447
Phone: (612) 596-0099
Fax: (763) 475-4297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302010 Minnesota

Profile Details

NPI number 1265619225
LBN Legal business name Vought, Jennifer Lynn
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Jan 22nd, 2008 - about 18 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 1265619225 NPPES
Minnesota Other 302010 LADC

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