Andrade, Jenny Vivian

Andrade, Jenny Vivian is an individual health care provider with primary practice located at 3904 S Old Highway 94 Ste 200 , Saint Charles MO 63304-2850. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Andrade, Jenny Vivian can be contacted via phone (636) 244-0686.

Contact Information

Primary practice address
3904 S Old Highway 94 Ste 200 Saint Charles MO 63304-2850
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2013031244 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20180009355 Missouri

Profile Details

NPI number 1376055004
LBN Legal business name Andrade, Jenny Vivian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2017
Last updated Jul 21st, 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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