Everett, Jennifer

Everett, Jennifer is an individual health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Everett, Jennifer can be contacted via phone (816) 781-7200.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 792-7196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2000168228 Missouri

Profile Details

NPI number 1982664850
LBN Legal business name Everett, Jennifer
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 9th, 2020 - about 4 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 1982664850 NPPES
Missouri Other 29676017 BCBS KC
Missouri MEDICAID 915233407 BCBS KC

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