Hiecke, Jennifer Kay

Hiecke, Jennifer Kay is an individual health care provider with primary practice located at 1201 5Th Ave N Suite 202, St Petersburg FL 33705-1400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hiecke, Jennifer Kay can be contacted via phone (727) 820-7701.

Contact Information

Primary practice address
1201 5Th Ave N Suite 202 St Petersburg FL 33705-1400
Phone: (727) 820-7701
Fax: (727) 820-7700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102321 Florida

Profile Details

NPI number 1083611735
LBN Legal business name Hiecke, Jennifer Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 12th, 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 1083611735 NPPES
Florida Other P00733266 RAILROAD MEDICARE PROVIDER NUMBER
Florida MEDICAID 106274100 RAILROAD MEDICARE PROVIDER NUMBER

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