Lander, Jennifer Jordan

Lander, Jennifer Jordan is an sole proprietor health care provider with primary practice located at 163 Winding Way , Pembroke GA 31321-5535. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Lander, Jennifer Jordan can be contacted via phone (912) 547-0181.

Contact Information

Primary practice address
163 Winding Way Pembroke GA 31321-5535
Phone: (912) 547-0181
Fax: (912) 653-7979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 4288 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4288 Georgia

Profile Details

NPI number 1649225624
LBN Legal business name Lander, Jennifer Jordan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Feb 24th, 2010 - about 15 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 1649225624 NPPES
Georgia MEDICAID 000859075A

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