Kernal, Jean L.
Kernal, Jean L. is an individual health care provider with primary practice located at 1250 8Th Ave Suite 515, Fort Worth TX 76104-4124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kernal, Jean L. can be contacted via phone (817) 922-4675.Contact Information
Primary practice address
1250 8Th Ave Suite 515
Fort Worth TX 76104-4124
Phone: (817) 922-4675
Fax: (817) 922-4645
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 748256 | Texas |
Profile Details
NPI number | 1972880946 |
---|---|
LBN Legal business name | Kernal, Jean L. |
Credentials | CNS-AD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2011 |
Last updated | Apr 8th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972880946 | NPPES |
Texas | MEDICAID | 286848101 | |
Texas | MEDICAID | 286848102 |
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