Kennedy, Jane E

Kennedy, Jane E is an sole proprietor health care provider with primary practice located at 2455 Bennett Valley Rd Ste B205 , Santa Rosa CA 95404-5667. 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. Kennedy, Jane E can be contacted via phone (707) 536-9722.

Contact Information

Primary practice address
2455 Bennett Valley Rd Ste B205 Santa Rosa CA 95404-5667
Phone: (707) 536-9722
Fax: (707) 843-5475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13881 California

Profile Details

NPI number 1679792071
LBN Legal business name Kennedy, Jane E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Mar 17th, 2018 - about 6 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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