Gonzalez, Jennifer

Gonzalez, Jennifer is an individual health care provider with primary practice located at 702 W Lake Lansing Rd , East Lansing MI 48823-8526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gonzalez, Jennifer can be contacted via phone (517) 332-5342.

Contact Information

Primary practice address
702 W Lake Lansing Rd East Lansing MI 48823-8526
Fax: (517) 316-2893
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704259119 Michigan

Profile Details

NPI number 1376939926
LBN Legal business name Gonzalez, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Aug 1st, 2023 - about last year

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 1376939926 NPPES
Michigan Other 4704259119 LICENSE #

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