Richardson, Jenny E

Richardson, Jenny E is an individual health care provider with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Richardson, Jenny E can be contacted via phone (903) 315-1488.

Contact Information

Primary practice address
700 E Marshall Ave Longview TX 75601-5580
Phone: (903) 315-1488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP120167 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP120167 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X TAP001475 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 689320 Texas

Profile Details

NPI number 1033138854
LBN Legal business name Richardson, Jenny E
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 5th, 2023 - about last year

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 1033138854 NPPES
Texas Other 1033138854 BLUE CROSS BLUE SHIELD
Texas MEDICAID 281761101 BLUE CROSS BLUE SHIELD

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