Jeakle, Debra

Jeakle, Debra is an individual health care provider with primary practice located at 10004 N Dale Mabry Hwy Ste 101 , Tampa FL 33618-4421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jeakle, Debra can be contacted via phone (813) 931-3999.

Contact Information

Primary practice address
10004 N Dale Mabry Hwy Ste 101 Tampa FL 33618-4421
Phone: (813) 931-3999
Fax: (813) 377-1391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2568812 Florida

Profile Details

NPI number 1245292739
LBN Legal business name Jeakle, Debra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Oct 1st, 2018 - about 6 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 1245292739 NPPES
Florida MEDICAID 003865800

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