Janke, Jennifer L

Janke, Jennifer L is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Janke, Jennifer L can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R37096 North Dakota

Profile Details

NPI number 1174503577
LBN Legal business name Janke, Jennifer L
Credentials WHNP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 19th, 2016 - about 9 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 1174503577 NPPES
Minnesota MEDICAID 339223600
Minnesota Other 500007919
Minnesota MEDICAID 84131

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