Lucey, Jennifer A

Lucey, Jennifer A is an individual health care provider with primary practice located at 1919 Lathrop St Ste 205 , Fairbanks AK 99701-5942. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Lucey, Jennifer A can be contacted via phone (608) 799-4335.

Contact Information

Primary practice address
1919 Lathrop St Ste 205 Fairbanks AK 99701-5942
Phone: (608) 799-4335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 160604 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3273-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 160604 Alaska

Profile Details

NPI number 1811248073
LBN Legal business name Lucey, Jennifer A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Jul 12th, 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 1811248073 NPPES
Alaska MEDICAID 1710794

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