Okeefe, Jennifer M

Okeefe, Jennifer M is an individual health care provider with primary practice located at 2100 N Main St Ste 304 , Crown Point IN 46307-1877. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Okeefe, Jennifer M can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
2100 N Main St Ste 304 Crown Point IN 46307-1877
Phone: (574) 546-1900
Fax: (574) 546-1999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704362899 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28208903A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71009467A Indiana

Profile Details

NPI number 1356998710
LBN Legal business name Okeefe, Jennifer M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2019
Last updated Jul 13th, 2020 - about 4 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 1356998710 NPPES
Other 14532319 CAQH

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