Vandivier, Jennifer

Vandivier, Jennifer is an individual health care provider with primary practice located at 415 N 26Th St Ste 102 , Lafayette IN 47904-2855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Vandivier, Jennifer can be contacted via phone (765) 446-6562.

Contact Information

Primary practice address
415 N 26Th St Ste 102 Lafayette IN 47904-2855
Phone: (765) 446-6562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71011539A Indiana

Profile Details

NPI number 1205506557
LBN Legal business name Vandivier, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2021
Last updated Sep 17th, 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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