Li, Jennifer

Li, Jennifer is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27710-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Li, Jennifer can be contacted via phone (919) 620-4467.

Contact Information

Primary practice address
2100 Erwin Rd Durham NC 27710-0001
Phone: (919) 620-4467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37986 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 37986 North Carolina

Profile Details

NPI number 1790848570
LBN Legal business name Li, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jun 6th, 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 1790848570 NPPES
North Carolina MEDICAID 8951914

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