Lines, Jennica

Lines, Jennica is an individual health care provider with primary practice located at 114 W 11Th St , Silver City NM 88061-5136. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lines, Jennica can be contacted via phone (575) 388-1511.

Contact Information

Primary practice address
114 W 11Th St Silver City NM 88061-5136
Phone: (575) 388-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 56879 New Mexico
Nursing Service Providers / Registered Nurse 163W00000X RN-87926 New Mexico

Profile Details

NPI number 1730741208
LBN Legal business name Lines, Jennica
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2019
Last updated Apr 29th, 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 1730741208 NPPES
New Mexico MEDICAID 1730751208

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