Boatwright, Jennifer Renee Master
Boatwright, Jennifer Renee Master is an individual health care provider with primary practice located at 27343 Wesley Chapel Blvd , Wesley Chapel FL 33544-4287. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Boatwright, Jennifer Renee Master can be contacted via phone (813) 991-9355.Contact Information
Primary practice address
27343 Wesley Chapel Blvd
Wesley Chapel FL 33544-4287
Phone: (813) 991-9355
Fax: (813) 355-5031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9107775 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9107775 | Florida |
Profile Details
NPI number | 1881873834 |
---|---|
LBN Legal business name | Boatwright, Jennifer Renee Master |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2007 |
Last updated | Dec 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881873834 | NPPES |
Florida | MEDICAID | 014578600 | |
Florida | Other | P01483687 |
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