Smith, Jenna Witte
Smith, Jenna Witte is an individual health care provider with primary practice located at 9669 E 146Th St Ste 330 , Noblesville IN 46060-5006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Jenna Witte can be contacted via phone (317) 355-2663.Contact Information
Primary practice address
9669 E 146Th St Ste 330
Noblesville IN 46060-5006
Phone: (317) 355-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001726A | Indiana |
Profile Details
| NPI number | 1538560065 |
|---|---|
| LBN Legal business name | Smith, Jenna Witte |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2014 |
| Last updated | Jan 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538560065 | NPPES |
| Indiana | MEDICAID | 300005052 | |
| Indiana | Other | P01424309 |
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