Hartsuff, Jenni H

Hartsuff, Jenni H is an individual health care provider with primary practice located at 7910 W Jefferson Blvd , Fort Wayne IN 46804-4159. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Hartsuff, Jenni H can be contacted via phone (260) 969-6200.

Contact Information

Primary practice address
7910 W Jefferson Blvd Fort Wayne IN 46804-4159
Phone: (260) 969-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704178226 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704178226 Michigan

Profile Details

NPI number 1972544518
LBN Legal business name Hartsuff, Jenni H
Credentials CRNA, MSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972544518 NPPES
Michigan MEDICAID 4691098

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