Chambless, Jenifer Marie
Chambless, Jenifer Marie is an individual health care provider with primary practice located at 305 W Jackson St Suite 200, Carbondale IL 62901-1474. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Chambless, Jenifer Marie can be contacted via phone (618) 453-3777.Contact Information
Primary practice address
305 W Jackson St Suite 200
Carbondale IL 62901-1474
Phone: (618) 453-3777
Fax: (618) 453-1102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085001864 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085-001864 | Illinois |
Profile Details
NPI number | 1962549790 |
---|---|
LBN Legal business name | Chambless, Jenifer Marie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2007 |
Last updated | Dec 28th, 2020 - 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.
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