Henry, Jennifer Chandra

Henry, Jennifer Chandra is an individual health care provider with primary practice located at 250 Hospital Pl , Soldotna AK 99669-7559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Henry, Jennifer Chandra can be contacted via phone (907) 714-4441.

Contact Information

Primary practice address
250 Hospital Pl Soldotna AK 99669-7559
Fax: (907) 714-4699
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 902 Alaska

Profile Details

NPI number 1215971387
LBN Legal business name Henry, Jennifer Chandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 7th, 2020 - about 5 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 1215971387 NPPES
Alaska MEDICAID 1572915

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