Sanders, Jennifer C

Sanders, Jennifer C is an individual health care provider with primary practice located at 5480 Goodman Rd Ste 1 , Olive Branch MS 38654-7902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sanders, Jennifer C can be contacted via phone (662) 874-6507.

Contact Information

Primary practice address
5480 Goodman Rd Ste 1 Olive Branch MS 38654-7902
Phone: (662) 874-6507
Fax: (662) 932-8197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R817657 Mississippi

Profile Details

NPI number 1043633696
LBN Legal business name Sanders, Jennifer C
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2014
Last updated Feb 23rd, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043633696 NPPES
Mississippi MEDICAID 05102521
Mississippi MEDICAID Q044388

Popular Providers