Leblo, Jennifer S

Leblo, Jennifer S is an individual health care provider with primary practice located at 1210 Medical Arts Blvd Suite 201, Anderson IN 46011-3461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leblo, Jennifer S can be contacted via phone (765) 298-5280.

Contact Information

Primary practice address
1210 Medical Arts Blvd Suite 201 Anderson IN 46011-3461
Phone: (765) 298-5280
Fax: (765) 298-5279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004028A Indiana

Profile Details

NPI number 1245586916
LBN Legal business name Leblo, Jennifer S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2012
Last updated Nov 27th, 2023 - about 2 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 1245586916 NPPES
Indiana Other P01157053 RR MEDICARE PTAN
Indiana MEDICAID 201082550 RR MEDICARE PTAN

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