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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1215048764 NPPES
South Carolina MEDICAID NP0905
South Carolina Other P00953705

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