Smith, Jennifer Lynn

Smith, Jennifer Lynn is an individual health care provider with primary practice located at 810 County Road 42 W , Burnsville MN 55337-4426. 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, Jennifer Lynn can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
810 County Road 42 W Burnsville MN 55337-4426
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9952 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9950 Minnesota

Profile Details

NPI number 1639163249
LBN Legal business name Smith, Jennifer Lynn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 26th, 2020 - about 4 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 1639163249 NPPES
Minnesota MEDICAID 504193700

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