Carlile, Jennifer Mae
Carlile, Jennifer Mae is an sole proprietor health care provider with primary practice located at 13395 N Marana Main St , Marana AZ 85653-7008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlile, Jennifer Mae can be contacted via phone (520) 682-4111.Contact Information
Primary practice address
13395 N Marana Main St
Marana AZ 85653-7008
Phone: (520) 682-4111
Fax: (520) 682-3817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP5088 | Arizona |
Profile Details
| NPI number | 1609217256 |
|---|---|
| LBN Legal business name | Carlile, Jennifer Mae |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2013 |
| Last updated | Sep 2nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609217256 | NPPES |
| Arizona | MEDICAID | 829150 |
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