Andrews-Gonzaga, Jennifer S

Andrews-Gonzaga, Jennifer S is an individual health care provider with primary practice located at 640 Jackson St Mc 11102F, St Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andrews-Gonzaga, Jennifer S can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Mc 11102F St Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1840-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9687 Minnesota

Profile Details

NPI number 1629031182
LBN Legal business name Andrews-Gonzaga, Jennifer S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Oct 5th, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629031182 NPPES
Minnesota MEDICAID 981435300

Popular Providers