Mackey, Jennifer Ann

Mackey, Jennifer Ann is an individual health care provider with primary practice located at 1130 S Main St , Englewood OH 45322-2819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackey, Jennifer Ann can be contacted via phone (937) 208-6879.

Contact Information

Primary practice address
1130 S Main St Englewood OH 45322-2819
Phone: (937) 208-6879
Fax: (937) 208-6886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.021227 Ohio

Profile Details

NPI number 1679081574
LBN Legal business name Mackey, Jennifer Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2018
Last updated Oct 13th, 2023 - about last year

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 1679081574 NPPES
Ohio MEDICAID 0008863

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