Edens, Jennifer

Edens, Jennifer is an individual health care provider with primary practice located at 351 Delnor Dr , Geneva IL 60134-4220. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Edens, Jennifer can be contacted via phone (630) 232-0280.

Contact Information

Primary practice address
351 Delnor Dr Geneva IL 60134-4220
Phone: (630) 232-0280
Fax: (630) 232-3895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209001556 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209001556 Illinois

Profile Details

NPI number 1427065200
LBN Legal business name Edens, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Dec 8th, 2012 - 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 1427065200 NPPES
Illinois Other P01093149 MEDICARE RAILROAD PTAN (INDIVIDUAL)
Illinois Other 041263676 MEDICARE RAILROAD PTAN (INDIVIDUAL)
Illinois Other 206147 MEDICARE RAILROAD PTAN (INDIVIDUAL)
Illinois Other CA4748 MEDICARE RAILROAD PTAN (INDIVIDUAL)
Illinois Other 206147100 MEDICARE RAILROAD PTAN (INDIVIDUAL)

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