Nydam, Jennifer Elaine

Nydam, Jennifer Elaine is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Ft Defiance AZ 86504-0649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Nydam, Jennifer Elaine can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Ft Defiance AZ 86504-0649
Phone: (928) 729-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1683 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 773 New Mexico

Profile Details

NPI number 1407958432
LBN Legal business name Nydam, Jennifer Elaine
Credentials R.N., C.N.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Oct 16th, 2019 - about 6 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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