Kingsley, Jennifer Ann

Kingsley, Jennifer Ann is an individual health care provider with primary practice located at 1895 14Th Ave Se , Albany OR 97322-8503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kingsley, Jennifer Ann can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
1895 14Th Ave Se Albany OR 97322-8503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201350001NP Oregon

Profile Details

NPI number 1417298381
LBN Legal business name Kingsley, Jennifer Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2013
Last updated May 29th, 2019 - about 5 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 1417298381 NPPES
Oregon MEDICAID 500655649

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