Casanta, Jennifer Grace

Casanta, Jennifer Grace is an individual health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Casanta, Jennifer Grace can be contacted via phone (727) 825-2486.

Contact Information

Primary practice address
1200 7Th Ave N St Petersburg FL 33705-1300
Phone: (727) 825-2486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3062322 Florida

Profile Details

NPI number 1639139694
LBN Legal business name Casanta, Jennifer Grace
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 31st, 2007 - about 17 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 1639139694 NPPES
Florida MEDICAID 307539700
Florida Other G4273

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