Grutzik, Jennifer Renee

Grutzik, Jennifer Renee is an individual health care provider with primary practice located at 2908 Mall Rd , Florence AL 35630-1641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grutzik, Jennifer Renee can be contacted via phone (256) 767-2702.

Contact Information

Primary practice address
2908 Mall Rd Florence AL 35630-1641
Phone: (256) 767-2702
Fax: (256) 718-6047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.459 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1437105442
LBN Legal business name Grutzik, Jennifer Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437105442 NPPES
Alabama Other PA.459 MEDICAL LICENSE
Alabama MEDICAID 107569 MEDICAL LICENSE

Popular Providers