Healy-Fetter, Jennifer Sue

Healy-Fetter, Jennifer Sue is an individual health care provider with primary practice located at 3302 Bonita Beach Rd # 170, Bonita Springs FL 34134-4174. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Healy-Fetter, Jennifer Sue can be contacted via phone (239) 624-1050.

Contact Information

Primary practice address
3302 Bonita Beach Rd # 170 Bonita Springs FL 34134-4174
Phone: (239) 624-1050
Fax: (239) 624-1051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103328 Florida

Profile Details

NPI number 1902997208
LBN Legal business name Healy-Fetter, Jennifer Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Sep 1st, 2017 - about 7 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 1902997208 NPPES
Florida MEDICAID 292464100
Florida Other Y01QX
Florida Other U684U

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