Blackwell, Jennifer

Blackwell, Jennifer is an individual health care provider with primary practice located at 226 Field St , New Bedford MA 02740-2133. 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. Blackwell, Jennifer can be contacted via phone (508) 979-5557.

Contact Information

Primary practice address
226 Field St New Bedford MA 02740-2133
Phone: (508) 979-5557
Fax: (508) 979-5955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1558733493
LBN Legal business name Blackwell, Jennifer
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Apr 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558733493 NPPES
Colorado MEDICAID 9000186132

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