Dehaven, Jennifer

Dehaven, Jennifer is an individual health care provider with primary practice located at 2141 Old Ashland City Rd , Clarksville TN 37043-4906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dehaven, Jennifer can be contacted via phone (931) 919-3361.

Contact Information

Primary practice address
2141 Old Ashland City Rd Clarksville TN 37043-4906
Phone: (931) 919-3361
Fax: (931) 919-3362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000012616 Tennessee

Profile Details

NPI number 1235257106
LBN Legal business name Dehaven, Jennifer
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Mar 29th, 2017 - about 7 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 1235257106 NPPES
Other 33410931 PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

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