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
Phone: (517) 332-5342
Fax: (517) 316-2893
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376939926 | NPPES |
Michigan | Other | 4704259119 | LICENSE # |
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