Phelps, Jennifer

Phelps, Jennifer is an individual health care provider with primary practice located at 455 S Landmark Ave , Bloomington IN 47403-5004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Phelps, Jennifer can be contacted via phone (812) 336-5723.

Contact Information

Primary practice address
455 S Landmark Ave Bloomington IN 47403-5004
Phone: (812) 336-5723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28176666A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 28176666A Indiana

Profile Details

NPI number 1548669112
LBN Legal business name Phelps, Jennifer
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2014
Last updated Aug 19th, 2014 - about 11 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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