Smallwood, Jane Lermont

Smallwood, Jane Lermont is an individual health care provider with primary practice located at 1200 6Th St Ste 200 , Traverse City MI 49684-2369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smallwood, Jane Lermont can be contacted via phone (231) 935-5800.

Contact Information

Primary practice address
1200 6Th St Ste 200 Traverse City MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704168966 Michigan

Profile Details

NPI number 1992790554
LBN Legal business name Smallwood, Jane Lermont
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 21st, 2022 - 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 1992790554 NPPES
Michigan MEDICAID 4189092

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