JENNIFER ANN SOPER WHNP NPI 1063924926

NPI Information

NPI: 1063924926
Provider Name: JENNIFER ANN SOPER, WHNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
4210 DENTON DR
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 876-1684
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Jennifer Ann Soper, WHNP is an obstetrics and gynecology nurse practitioner in Saint Joseph, MI with 7 years of experience. Jennifer Ann Soper, WHNP NPI is 1063924926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4210 DENTON DR
SAINT JOSEPH, MI
ZIP 49085-533
Phone: (269) 876-1684

The NPI 1063924926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2017 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	4704191329	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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