Withers, Jennifer Rae

Withers, Jennifer Rae is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Withers, Jennifer Rae can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209020422 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041402463 Illinois

Profile Details

NPI number 1841758802
LBN Legal business name Withers, Jennifer Rae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2019
Last updated Sep 23rd, 2020 - about 6 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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