Jeannerat, Dawn Renee

Jeannerat, Dawn Renee is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jeannerat, Dawn Renee can be contacted via phone (814) 375-6440.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP015559 Pennsylvania

Profile Details

NPI number 1922471556
LBN Legal business name Jeannerat, Dawn Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated May 5th, 2023 - about 2 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 1922471556 NPPES
Pennsylvania MEDICAID 103104610
Pennsylvania Other PTAN
Pennsylvania Other PTAN

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