Porter, Jennifer Rose
Porter, Jennifer Rose is an individual health care provider with primary practice located at 120 Labree Ave S , Thief River Falls MN 56701-2819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Porter, Jennifer Rose can be contacted via phone (218) 683-4351.Contact Information
Primary practice address
120 Labree Ave S
Thief River Falls MN 56701-2819
Phone: (218) 683-4351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7365 | Minnesota |
Profile Details
| NPI number | 1770103129 |
|---|---|
| LBN Legal business name | Porter, Jennifer Rose |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2020 |
| Last updated | Oct 26th, 2021 - about 3 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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