Ayers, Jennie K

Ayers, Jennie K is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ayers, Jennie K can be contacted via phone (407) 423-7777.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Fax: (407) 423-1380
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9112602 Florida

Profile Details

NPI number 1528600442
LBN Legal business name Ayers, Jennie K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2019
Last updated Jan 14th, 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 1528600442 NPPES
Florida MEDICAID 105000900

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