Ewing, Jennifer C

Ewing, Jennifer C is an individual health care provider with primary practice located at 5340 Holy Cross Pkwy , Mishawaka IN 46545-1470. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ewing, Jennifer C can be contacted via phone (800) 860-8100.

Contact Information

Primary practice address
5340 Holy Cross Pkwy Mishawaka IN 46545-1470
Phone: (800) 860-8100
Fax: (574) 237-1341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X PENDING Indiana

Profile Details

NPI number 1487885679
LBN Legal business name Ewing, Jennifer C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Mar 19th, 2012 - about 13 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 1487885679 NPPES
Indiana MEDICAID 1487885679

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