Waite, Jennifer L

Waite, Jennifer L is an individual health care provider with primary practice located at 9825 Hospital Dr Ste 205 , Maple Grove MN 55369-4480. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Waite, Jennifer L can be contacted via phone (763) 587-7000.

Contact Information

Primary practice address
9825 Hospital Dr Ste 205 Maple Grove MN 55369-4480
Phone: (763) 587-7000
Fax: (763) 587-7015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 363AM0700X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.004163 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13027 Minnesota

Profile Details

NPI number 1891070694
LBN Legal business name Waite, Jennifer L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Sep 3rd, 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.

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