Neilsen, Jennifer Ann

Neilsen, Jennifer Ann is an individual health care provider with primary practice located at 2150 Shipyard Blvd , Wilmington NC 28403-8052. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Neilsen, Jennifer Ann can be contacted via phone (910) 662-9300.

Contact Information

Primary practice address
2150 Shipyard Blvd Wilmington NC 28403-8052
Fax: (910) 662-9301
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2002-00969 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 200200969 North Carolina

Profile Details

NPI number 1881648111
LBN Legal business name Neilsen, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 15th, 2022 - 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 1881648111 NPPES
North Carolina Other 214649 MEDCOST
North Carolina Other 142K8 MEDCOST
North Carolina MEDICAID 5904020 MEDCOST

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