Lavia, Jennifer A

Lavia, Jennifer A is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Lavia, Jennifer A can be contacted via phone (920) 729-2738.

Contact Information

Primary practice address
130 2Nd St Neenah WI 54956-2883
Phone: (920) 729-2738
Fax: (920) 729-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 152277 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3111 Wisconsin

Profile Details

NPI number 1871797977
LBN Legal business name Lavia, Jennifer A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Aug 16th, 2012 - about 12 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 1871797977 NPPES
Wisconsin Other 711290026 MEDICARE PTAN

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