Humphreys, Jennifer

Humphreys, Jennifer is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Humphreys, Jennifer can be contacted via phone (770) 277-3056.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-0000
Phone: (770) 277-3056
Fax: (855) 204-5244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 004172 Georgia

Profile Details

NPI number 1932144557
LBN Legal business name Humphreys, Jennifer
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 29th, 2014 - about 10 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 1932144557 NPPES
Georgia MEDICAID 331350757A

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