Long, Jeannette C

Long, Jeannette C is an individual health care provider with primary practice located at 721 Thompson Drive , Kerrville TX 78028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Long, Jeannette C can be contacted via phone (830) 896-2211.

Contact Information

Primary practice address
721 Thompson Drive Kerrville TX 78028
Phone: (830) 896-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 689869 Texas

Profile Details

NPI number 1154415909
LBN Legal business name Long, Jeannette C
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1154415909 NPPES
Texas MEDICAID 170750701

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