Emmert, Jennifer M

Emmert, Jennifer M is an individual health care provider with primary practice located at 3738 Landmark Dr Ste A , Lafayette IN 47905-6655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Emmert, Jennifer M can be contacted via phone (765) 807-2780.

Contact Information

Primary practice address
3738 Landmark Dr Ste A Lafayette IN 47905-6655
Phone: (765) 807-2780
Fax: (765) 807-2781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71001915A Indiana

Profile Details

NPI number 1659323046
LBN Legal business name Emmert, Jennifer M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659323046 NPPES
Indiana MEDICAID 201010640

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