Jennings, Linda S

Jennings, Linda S is an individual health care provider with primary practice located at 1715 W Northern Ave , Phoenix AZ 85021-5472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Jennings, Linda S can be contacted via phone (602) 395-0718.

Contact Information

Primary practice address
1715 W Northern Ave Phoenix AZ 85021-5472
Phone: (602) 395-0718
Fax: (602) 277-8146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X RN031133 Arizona

Profile Details

NPI number 1649211160
LBN Legal business name Jennings, Linda S
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 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 1649211160 NPPES
Arizona MEDICAID 390790
Arizona Other AZ0147710

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