White, Jennifer Sue

White, Jennifer Sue is an individual health care provider with primary practice located at 2060 E Paris Ave Se Ste 200 , Grand Rapids MI 49546-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Jennifer Sue can be contacted via phone (616) 285-1377.

Contact Information

Primary practice address
2060 E Paris Ave Se Ste 200 Grand Rapids MI 49546-6113
Phone: (616) 285-1377
Fax: (616) 285-1154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704231087 Michigan

Profile Details

NPI number 1154385797
LBN Legal business name White, Jennifer Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated May 5th, 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 1154385797 NPPES
Michigan Other 5008702080 BLUE CROSS BLUE SHIELD
Michigan Other P00083556 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4582350 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4507487 BLUE CROSS BLUE SHIELD

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