Gould, Jena Elizabeth
Gould, Jena Elizabeth is an individual health care provider with primary practice located at 1205 Provident Drive Suite A, Warsaw IN 46580-3265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gould, Jena Elizabeth can be contacted via phone (574) 269-8383.Contact Information
Primary practice address
1205 Provident Drive Suite A
Warsaw IN 46580-3265
Phone: (574) 269-8383
Fax: (574) 269-8384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003002A | Indiana |
Profile Details
| NPI number | 1952534943 |
|---|---|
| LBN Legal business name | Gould, Jena Elizabeth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2009 |
| Last updated | Apr 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952534943 | NPPES |
| Indiana | MEDICAID | 201002210 |
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