South, Jenasee Loretta
South, Jenasee Loretta is an sole proprietor health care provider with primary practice located at 14961 W Bell Rd Ste 175 , Surprise AZ 85374-3220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. South, Jenasee Loretta can be contacted via phone (623) 547-7205.Contact Information
Primary practice address
14961 W Bell Rd Ste 175
Surprise AZ 85374-3220
Phone: (623) 547-7205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1003679846 |
|---|---|
| LBN Legal business name | South, Jenasee Loretta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 5th, 2024 - about 10 months 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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