Delarber, Jennifer Lynn

Delarber, Jennifer Lynn is an individual health care provider with primary practice located at 508 Gordon Ave , Thomasville GA 31792-6646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Delarber, Jennifer Lynn can be contacted via phone (229) 226-0125.

Contact Information

Primary practice address
508 Gordon Ave Thomasville GA 31792-6646
Phone: (229) 226-0125
Fax: (229) 226-0195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004582 Georgia

Profile Details

NPI number 1558357087
LBN Legal business name Delarber, Jennifer Lynn
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 9th, 2013 - about 12 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 1558357087 NPPES
Georgia MEDICAID 448826836A

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