Jennifer Lynn Smith in Burnsville - Physician Assistant

Jennifer Lynn Smith - NPI 1639163249

Jennifer Lynn Smith is a Physician Assistant in Burnsville, Minnesota. Jennifer Lynn Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Lynn Smith is 1639163249. The last update date is 2020-03-26.

Jennifer Lynn Smith's current location address is 810 County Road 42 W, Burnsville, Minnesota. You can contact this provider via phone number 8663892727. The mailing address for Jennifer Lynn Smith is 810 County Road 42 W, Burnsville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Lynn Smith
Address 810 County Road 42 W, Burnsville, Minnesota
Phone Number 8663892727
Fax Number
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1639163249
Provider Enumeration Date 2005-09-09
Last Updated Date 2020-03-26

Provider Mailing Address Detail

Address 810 County Road 42 W
City Burnsville
State Minnesota (MN)
Post Code 553374426
Phone Number 8663892727
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9952
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
504193700 MN --

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FAQs about Jennifer Lynn Smith

What is the unique identifier code issued to Jennifer Lynn Smith by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Lynn Smith has been assigned the NPI (National Provider Identifier) 1639163249. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Jennifer Lynn Smith located?

The Jennifer Lynn Smith is located at 810 County Road 42 W, Burnsville, MN 553374426.

Could you please provide the complete physical location address of Jennifer Lynn Smith?

The Jennifer Lynn Smith is physically situated at 810 County Road 42 W, in the city of Burnsville, state of MN, with the postal code 553374426.

When was the Jennifer Lynn Smith's 1639163249 issued?

The Jennifer Lynn Smith's 1639163249 was issued on 2005-09-09.

On what date did the Centers for Medicare & Medicaid Services issue the 1639163249 to Jennifer Lynn Smith?

The Jennifer Lynn Smith received its 1639163249 assignment from the Centers for Medicare & Medicaid Services on 2005-09-09.

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