Knisely, Jennifer

Knisely, Jennifer is an sole proprietor health care provider with primary practice located at 610 Euclid Ave Ste 200 , National City CA 91950-2951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Knisely, Jennifer can be contacted via phone (619) 267-9257.

Contact Information

Primary practice address
610 Euclid Ave Ste 200 National City CA 91950-2951
Phone: (619) 267-9257
Fax: (619) 267-9273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2018069770 California

Profile Details

NPI number 1992276679
LBN Legal business name Knisely, Jennifer
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2018
Last updated Feb 21st, 2020 - about 4 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 1992276679 NPPES
California Other 678055 REGISTERED NURSE

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