Henry, Jane Ellen
Henry, Jane Ellen is an individual health care provider with primary practice located at 580 State Road 206 West , St Augustine FL 32086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henry, Jane Ellen can be contacted via phone (954) 695-3643.Contact Information
Primary practice address
580 State Road 206 West
St Augustine FL 32086
Phone: (954) 695-3643
Fax: (954) 695-3643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3000182 | Florida |
Profile Details
NPI number | 1780658617 |
---|---|
LBN Legal business name | Henry, Jane Ellen |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Jan 24th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780658617 | NPPES |
Florida | Other | AC299 | MEDICARE GROUP NUMBER |
Florida | Other | P00381167 | MEDICARE GROUP NUMBER |
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