Hart, Jennifer L

Hart, Jennifer L is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hart, Jennifer L can be contacted via phone (920) 303-3700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904-7668
Phone: (920) 303-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1770 Wisconsin

Profile Details

NPI number 1659406569
LBN Legal business name Hart, Jennifer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Dec 2nd, 2021 - about 3 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 1659406569 NPPES
Wisconsin MEDICAID 43951100

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