Thigpen Hearn, Jennifer Jeri

Thigpen Hearn, Jennifer Jeri is an sole proprietor health care provider with primary practice located at 996 Bridgewater Walk , Snellville GA 30078-2049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Thigpen Hearn, Jennifer Jeri can be contacted via phone (404) 583-0090.

Contact Information

Primary practice address
996 Bridgewater Walk Snellville GA 30078-2049
Phone: (404) 583-0090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN102586 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 102586 Georgia

Profile Details

NPI number 1053368175
LBN Legal business name Thigpen Hearn, Jennifer Jeri
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Mar 18th, 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 1053368175 NPPES
Georgia MEDICAID 000796507A

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