Jefferson, Destiny Laine

Jefferson, Destiny Laine is an individual health care provider with primary practice located at 2721 Creeks Edge Ln , Navarre FL 32566-8666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jefferson, Destiny Laine can be contacted via phone (228) 282-3236.

Contact Information

Primary practice address
2721 Creeks Edge Ln Navarre FL 32566-8666
Phone: (228) 282-3236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11007965 Florida

Profile Details

NPI number 1184237000
LBN Legal business name Jefferson, Destiny Laine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2020
Last updated Aug 29th, 2020 - about 4 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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