Shea, Jennifer

Shea, Jennifer is an individual health care provider with primary practice located at 7700 Washington Village Dr Ste 230, Dayton OH 45459-4094. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shea, Jennifer can be contacted via phone (937) 376-2571.

Contact Information

Primary practice address
7700 Washington Village Dr Ste 230 Dayton OH 45459-4094
Phone: (937) 376-2571
Fax: (937) 376-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 785 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP-10736 Ohio

Profile Details

NPI number 1336212570
LBN Legal business name Shea, Jennifer
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Apr 12th, 2018 - about 6 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 1336212570 NPPES
Alaska MEDICAID NP9648
Alaska Other 02D0640596

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