Testerman, Jennifer

Testerman, Jennifer is an individual health care provider with primary practice located at 920 N Main St , O Fallon MO 63366-1746. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Testerman, Jennifer can be contacted via phone (636) 696-1561.

Contact Information

Primary practice address
920 N Main St O Fallon MO 63366-1746
Phone: (636) 696-1561
Fax: (636) 696-1560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2012035265 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2012035265 Missouri

Profile Details

NPI number 1548205008
LBN Legal business name Testerman, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 27th, 2020 - 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 1548205008 NPPES
Vermont MEDICAID 1010309

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