Powell, Jenelle M

Powell, Jenelle M is an individual health care provider with primary practice located at 5 Care Ln , Saratoga Springs NY 12866-8623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Powell, Jenelle M can be contacted via phone (518) 489-2663.

Contact Information

Primary practice address
5 Care Ln Saratoga Springs NY 12866-8623
Phone: (518) 489-2663
Fax: (518) 689-3881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 023888 New York

Profile Details

NPI number 1720630072
LBN Legal business name Powell, Jenelle M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Dec 8th, 2023 - about 2 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 1720630072 NPPES
New York Other 023888 NY LICENSE
New York MEDICAID 05875609 NY LICENSE

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