Daniels, Jennifer Lee

Daniels, Jennifer Lee is an individual health care provider with primary practice located at 1540 Sunday Dr , Raleigh NC 27607-6010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Daniels, Jennifer Lee can be contacted via phone (919) 782-3456.

Contact Information

Primary practice address
1540 Sunday Dr Raleigh NC 27607-6010
Phone: (919) 782-3456
Fax: (919) 783-1441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300177 North Carolina

Profile Details

NPI number 1861486748
LBN Legal business name Daniels, Jennifer Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Dec 17th, 2019 - 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 1861486748 NPPES
North Carolina MEDICAID ZN000010

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