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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245292739 | NPPES |
| Florida | MEDICAID | 003865800 |
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