Kennedy, Jan Marie

Kennedy, Jan Marie is an individual health care provider with primary practice located at 1813 Beltline Rd Sw , Decatur AL 35601-5506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Jan Marie can be contacted via phone (256) 353-6874.

Contact Information

Primary practice address
1813 Beltline Rd Sw Decatur AL 35601-5506
Phone: (256) 353-6874
Fax: (256) 260-0594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1076407 Alabama

Profile Details

NPI number 1730139098
LBN Legal business name Kennedy, Jan Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 17th, 2010 - about 14 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 1730139098 NPPES
Alabama Other 1-076407 ALABAMA LICENSE
Alabama Other 51533376 ALABAMA LICENSE

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