Antoine, Jennifer Rosemarie

Antoine, Jennifer Rosemarie is an individual health care provider with primary practice located at 4930 E Lake Mary Blvd , Sanford FL 32771-5003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Antoine, Jennifer Rosemarie can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
4930 E Lake Mary Blvd Sanford FL 32771-5003
Phone: (407) 322-8645
Fax: (407) 269-8986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9172578 Florida

Profile Details

NPI number 1346756897
LBN Legal business name Antoine, Jennifer Rosemarie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Nov 12th, 2020 - about 4 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 1346756897 NPPES
Florida MEDICAID 106889400

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