Fosdick, Jennifer

Fosdick, Jennifer is an individual health care provider with primary practice located at 3501 54Th Ave S , Saint Petersburg FL 33711-4541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fosdick, Jennifer can be contacted via phone (727) 864-1546.

Contact Information

Primary practice address
3501 54Th Ave S Saint Petersburg FL 33711-4541
Fax: (727) 864-9800
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9482447 Florida

Profile Details

NPI number 1619256955
LBN Legal business name Fosdick, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated May 11th, 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 1619256955 NPPES
Oklahoma Other 95833 OK NURSING

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