Palo, Jennifer Ruth
Palo, Jennifer Ruth is an individual health care provider with primary practice located at 87 Springview Lane , Summerville SC 29485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Palo, Jennifer Ruth can be contacted via phone (843) 876-7979.Contact Information
Primary practice address
87 Springview Lane
Summerville SC 29485
Phone: (843) 876-7979
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2610 | South Carolina |
Profile Details
NPI number | 1215048764 |
---|---|
LBN Legal business name | Palo, Jennifer Ruth |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Apr 20th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215048764 | NPPES |
South Carolina | MEDICAID | NP0905 | |
South Carolina | Other | P00953705 |
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