Gillespie, Jennifer Joy

Gillespie, Jennifer Joy is an individual health care provider with primary practice located at 206 S Union St , Kokomo IN 46901-4606. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gillespie, Jennifer Joy can be contacted via phone (765) 457-4673.

Contact Information

Primary practice address
206 S Union St Kokomo IN 46901-4606
Phone: (765) 457-4673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001719A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001719A Indiana

Profile Details

NPI number 1346202629
LBN Legal business name Gillespie, Jennifer Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 3rd, 2016 - about 8 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 1346202629 NPPES
Indiana MEDICAID 200475100

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