Connor, Jared L

Connor, Jared L is an individual health care provider with primary practice located at 708 Will Halsey Way Ste A , Madison AL 35758-2566. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Connor, Jared L can be contacted via phone (256) 325-7425.

Contact Information

Primary practice address
708 Will Halsey Way Ste A Madison AL 35758-2566
Phone: (256) 325-7425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-109689 Alabama

Profile Details

NPI number 1992122303
LBN Legal business name Connor, Jared L
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2014
Last updated Aug 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992122303 NPPES
Alabama MEDICAID 206070

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