Bainum, Jennifer L

Bainum, Jennifer L is an individual health care provider with primary practice located at 1577 Wilroy Rd Ste 102 , Suffolk VA 23434-2433. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bainum, Jennifer L can be contacted via phone (757) 204-5775.

Contact Information

Primary practice address
1577 Wilroy Rd Ste 102 Suffolk VA 23434-2433
Phone: (757) 204-5775
Fax: (757) 257-2320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95011573 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024177886 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95011573 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024177886 Virginia

Profile Details

NPI number 1225381437
LBN Legal business name Bainum, Jennifer L
Credentials CPNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2012
Last updated Aug 23rd, 2023 - about last year

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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