Dawe, Jennifer Jordan

Dawe, Jennifer Jordan is an individual health care provider with primary practice located at 4586 Timber Ridge Dr Suite 200, Douglasville GA 30135-7517. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dawe, Jennifer Jordan can be contacted via phone (770) 942-0457.

Contact Information

Primary practice address
4586 Timber Ridge Dr Suite 200 Douglasville GA 30135-7517
Phone: (770) 942-0457
Fax: (770) 942-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN171108 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN171108 Georgia

Profile Details

NPI number 1164720090
LBN Legal business name Dawe, Jennifer Jordan
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2011
Last updated Aug 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164720090 NPPES
Georgia MEDICAID 003108710D
Georgia MEDICAID 003108710E

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