Smith-Otte, Jennifer Elizabeth

Smith-Otte, Jennifer Elizabeth is an individual health care provider with primary practice located at 121 S 8Th St Suite 600, Minneapolis MN 55402-2841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith-Otte, Jennifer Elizabeth can be contacted via phone (612) 333-4822.

Contact Information

Primary practice address
121 S 8Th St Suite 600 Minneapolis MN 55402-2841
Phone: (612) 333-4822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R1374395 Minnesota

Profile Details

NPI number 1285607390
LBN Legal business name Smith-Otte, Jennifer Elizabeth
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 23rd, 2021 - about 3 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 1285607390 NPPES
Minnesota MEDICAID 478114700

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