Ealy, Jennifer

Ealy, Jennifer is an individual health care provider with primary practice located at 696 Jackson Ave , Memphis TN 38105-2006. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ealy, Jennifer can be contacted via phone (901) 260-9124.

Contact Information

Primary practice address
696 Jackson Ave Memphis TN 38105-2006
Phone: (901) 260-9124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1285130476
LBN Legal business name Ealy, Jennifer
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2018
Last updated Apr 5th, 2018 - about 6 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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