Huisman, Jennifer Joy

Huisman, Jennifer Joy is an individual health care provider with primary practice located at 4808 Viking Trl , New Castle IN 47362-8810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Huisman, Jennifer Joy can be contacted via phone (765) 836-5400.

Contact Information

Primary practice address
4808 Viking Trl New Castle IN 47362-8810
Phone: (765) 836-5400
Fax: (765) 836-5400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001495A Indiana

Profile Details

NPI number 1942214010
LBN Legal business name Huisman, Jennifer Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1942214010 NPPES
Indiana MEDICAID PENDING

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