Miner, Mary Jeanne

Miner, Mary Jeanne is an individual health care provider with primary practice located at Chico State University Student Health Warner Ave & College Dr, Chico CA 95929-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miner, Mary Jeanne can be contacted via phone (530) 898-5241.

Contact Information

Primary practice address
Chico State University Student Health Warner Ave & College Dr Chico CA 95929-0001
Phone: (530) 898-5241
Fax: (530) 898-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 14975 California

Profile Details

NPI number 1952398109
LBN Legal business name Miner, Mary Jeanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 7th, 2011 - about 13 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 1952398109 NPPES
California Other NP 14975 NURSE PRACTITIONER CERTIF
California MEDICAID RN271495 NURSE PRACTITIONER CERTIF
California Other NPF 14975 NURSE PRACTITIONER CERTIF
California Other RN 271495 NURSE PRACTITIONER CERTIF

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