Long, Jennifer
Long, Jennifer is an individual health care provider with primary practice located at 2920 Mcintyre Dr Suite 305, Bloomington IN 47403-4221. 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, Jennifer can be contacted via phone (812) 336-4947.Contact Information
Primary practice address
2920 Mcintyre Dr Suite 305
Bloomington IN 47403-4221
Phone: (812) 336-4947
Fax: (812) 336-3661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001198A | Indiana |
Profile Details
NPI number | 1962685487 |
---|---|
LBN Legal business name | Long, Jennifer |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2007 |
Last updated | Dec 6th, 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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