Petruney, Jennie S
Petruney, Jennie S is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Petruney, Jennie S can be contacted via phone (919) 966-0210.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27514-4220
Phone: (919) 966-0210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5004743 | North Carolina |
Profile Details
| NPI number | 1457580094 |
|---|---|
| LBN Legal business name | Petruney, Jennie S |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2009 |
| Last updated | Oct 15th, 2012 - about 12 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 | 1457580094 | NPPES |
| Pennsylvania | MEDICAID | 1023796350002 | |
| Pennsylvania | Other | 2119064 | |
| Pennsylvania | MEDICAID | 1023796350001 |
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