Suarez, Jennifer N

Suarez, Jennifer N is an individual health care provider with primary practice located at 200 Doctors Dr Ste A , Jacksonville NC 28546-6308. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Suarez, Jennifer N can be contacted via phone (910) 333-0814.

Contact Information

Primary practice address
200 Doctors Dr Ste A Jacksonville NC 28546-6308
Phone: (910) 333-0814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-85225

Profile Details

NPI number 1992341481
LBN Legal business name Suarez, Jennifer N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2019
Last updated Nov 20th, 2019 - about 7 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 1992341481 NPPES
Massachusetts MEDICAID 110026265E

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