Jefferson, Reagan

Jefferson, Reagan is an sole proprietor health care provider with primary practice located at 1700 Education Ave , Punta Gorda FL 33950-6222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jefferson, Reagan can be contacted via phone (941) 639-8300.

Contact Information

Primary practice address
1700 Education Ave Punta Gorda FL 33950-6222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11032154 Florida

Profile Details

NPI number 1871345744
LBN Legal business name Jefferson, Reagan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2024
Last updated Apr 23rd, 2024 - about 8 months 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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