Zimmerman, Jennifer Lee

Zimmerman, Jennifer Lee is an individual health care provider with primary practice located at 1441 Florida Ave. , Modesto CA 95352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Zimmerman, Jennifer Lee can be contacted via phone (209) 578-1211.

Contact Information

Primary practice address
1441 Florida Ave. Modesto CA 95352
Phone: (209) 578-1211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10924 California

Profile Details

NPI number 1417042870
LBN Legal business name Zimmerman, Jennifer Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 28th, 2016 - about 10 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 1417042870 NPPES
California Other CD069A GROUP PTAN-GREATER MODESTO MEDICAL SURGICAL ASSOCIATES

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