Adkins, Jennifer Tyree

Adkins, Jennifer Tyree is an individual health care provider with primary practice located at 3707 Brambleton Ave #2, Roanoke VA 24018-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Adkins, Jennifer Tyree can be contacted via phone (540) 725-7800.

Contact Information

Primary practice address
3707 Brambleton Ave #2 Roanoke VA 24018-3658
Phone: (540) 725-7800
Fax: (540) 989-6752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002231 Virginia

Profile Details

NPI number 1962581322
LBN Legal business name Adkins, Jennifer Tyree
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated Aug 8th, 2022 - about 3 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 1962581322 NPPES
Virginia MEDICAID 1962581322

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