Abraham, Jennifer V

Abraham, Jennifer V is an individual health care provider with primary practice located at 3433 Warren Farm Dr , Fort Collins CO 80526-6344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Abraham, Jennifer V can be contacted via phone (651) 319-1563.

Contact Information

Primary practice address
3433 Warren Farm Dr Fort Collins CO 80526-6344
Phone: (651) 319-1563
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0004068 Colorado

Profile Details

NPI number 1194121657
LBN Legal business name Abraham, Jennifer V
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2014
Last updated Jul 7th, 2015 - about 9 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 1194121657 NPPES
Colorado MEDICAID 10237259

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