Breathitt, Jennifer

Breathitt, Jennifer is an individual health care provider with primary practice located at 4542 W Wedge Dr , Fayetteville AR 72704-7532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Breathitt, Jennifer can be contacted via phone (479) 409-6096.

Contact Information

Primary practice address
4542 W Wedge Dr Fayetteville AR 72704-7532
Phone: (479) 409-6096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A006218 Arkansas

Profile Details

NPI number 1932749561
LBN Legal business name Breathitt, Jennifer
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2020
Last updated Jan 11th, 2020 - about 5 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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