Cruz, Jennifer Ann

Cruz, Jennifer Ann is an individual health care provider with primary practice located at 3700 W Sovereign Path , Lecanto FL 34461-8071. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cruz, Jennifer Ann can be contacted via phone (352) 423-5334.

Contact Information

Primary practice address
3700 W Sovereign Path Lecanto FL 34461-8071
Phone: (352) 423-5334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9303027 Florida

Profile Details

NPI number 1689116519
LBN Legal business name Cruz, Jennifer Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2016
Last updated Nov 3rd, 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 1689116519 NPPES
Florida MEDICAID 022680300

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