Kiefer, Jacquelyn Sue

Kiefer, Jacquelyn Sue is an individual health care provider with primary practice located at 926 Washington Ave , Holland MI 49423-7725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kiefer, Jacquelyn Sue can be contacted via phone (616) 393-0166.

Contact Information

Primary practice address
926 Washington Ave Holland MI 49423-7725
Phone: (616) 393-0166
Fax: (616) 393-0167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704162589 Michigan

Profile Details

NPI number 1962789560
LBN Legal business name Kiefer, Jacquelyn Sue
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - 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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