Passanise, Jennifer L.

Passanise, Jennifer L. is an individual health care provider with primary practice located at 1965 S Fremont Ave , Springfield MO 65804-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Passanise, Jennifer L. can be contacted via phone (417) 820-5150.

Contact Information

Primary practice address
1965 S Fremont Ave Springfield MO 65804-2201
Phone: (417) 820-5150
Fax: (417) 820-5155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 154827 Missouri

Profile Details

NPI number 1003842154
LBN Legal business name Passanise, Jennifer L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1003842154 NPPES
Missouri MEDICAID # PENDING

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