Warren, Jennifer B

Warren, Jennifer B is an individual health care provider with primary practice located at 3495 Cobblestone Blvd S , Southaven MS 38672-7075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Warren, Jennifer B can be contacted via phone (662) 892-2885.

Contact Information

Primary practice address
3495 Cobblestone Blvd S Southaven MS 38672-7075
Phone: (662) 892-2885
Fax: (662) 890-1551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R879367 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R879367 Mississippi

Profile Details

NPI number 1174872626
LBN Legal business name Warren, Jennifer B
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Mar 22nd, 2022 - about 2 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 1174872626 NPPES
Mississippi MEDICAID 01028095

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