Efaw, Jenniffer Marie

Efaw, Jenniffer Marie is an individual health care provider with primary practice located at 615 N State St Ste 1 , Stanton MI 48888-9702. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Efaw, Jenniffer Marie can be contacted via phone (989) 831-5237.

Contact Information

Primary practice address
615 N State St Ste 1 Stanton MI 48888-9702
Phone: (989) 831-5237
Fax: (989) 831-3666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 4704187185 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704187185 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4704187185 Michigan

Profile Details

NPI number 1316247935
LBN Legal business name Efaw, Jenniffer Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2010
Last updated May 25th, 2021 - about 3 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 1316247935 NPPES
Michigan Other 4704187185 LICENSE - NURSE PRACTITIONER

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