Jennisch, Sara Joan

Jennisch, Sara Joan is an individual health care provider with primary practice located at 270 Main St N Ste 300 , Stillwater MN 55082-6788. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Jennisch, Sara Joan can be contacted via phone (651) 342-1039.

Contact Information

Primary practice address
270 Main St N Ste 300 Stillwater MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11376 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 11376 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11376 Minnesota

Profile Details

NPI number 1548028053
LBN Legal business name Jennisch, Sara Joan
Credentials MSN, CNP, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2024
Last updated Mar 12th, 2024 - about last year

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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