Stefanski, Jenelle Haley

Stefanski, Jenelle Haley is an individual health care provider with primary practice located at 6913 N Main St Ste 100 , Granger IN 46530-8039. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stefanski, Jenelle Haley can be contacted via phone (574) 647-6400.

Contact Information

Primary practice address
6913 N Main St Ste 100 Granger IN 46530-8039
Phone: (574) 647-6400
Fax: (574) 647-2951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004799A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 4704278821 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013007660 Michigan

Profile Details

NPI number 1477988590
LBN Legal business name Stefanski, Jenelle Haley
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2013
Last updated Feb 5th, 2019 - about 5 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 1477988590 NPPES
Indiana MEDICAID 201215000

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