Eagle, Jennifer

Eagle, Jennifer is an individual health care provider with primary practice located at 3801 S Kanner Hwy , Stuart FL 34994-4801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Eagle, Jennifer can be contacted via phone (772) 419-3301.

Contact Information

Primary practice address
3801 S Kanner Hwy Stuart FL 34994-4801
Phone: (772) 419-3301
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN11024601 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1710384235
LBN Legal business name Eagle, Jennifer
Credentials CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2014
Last updated Sep 19th, 2023 - about 2 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 1710384235 NPPES
Washington MEDICAID 1710384235

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