Faccioli, Jennifer Ellen

Faccioli, Jennifer Ellen is an individual health care provider with primary practice located at 1425 Creech Rd , Naples FL 34103-4207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Faccioli, Jennifer Ellen can be contacted via phone (239) 262-8923.

Contact Information

Primary practice address
1425 Creech Rd Naples FL 34103-4207
Phone: (239) 262-8923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 1756682 Florida

Profile Details

NPI number 1891019063
LBN Legal business name Faccioli, Jennifer Ellen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2010
Last updated Mar 17th, 2010 - about 14 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 1891019063 NPPES
Florida MEDICAID 034947000
Florida Other P63440

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