Jennings, Emily G

Jennings, Emily G is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 403, Cocoa Beach FL 32931-3577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jennings, Emily G can be contacted via phone (321) 868-8348.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Suite 403 Cocoa Beach FL 32931-3577
Phone: (321) 868-8348
Fax: (321) 868-8349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103794 Florida

Profile Details

NPI number 1700968542
LBN Legal business name Jennings, Emily G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 18th, 2012 - about 12 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 1700968542 NPPES
Florida Other PA9103794 LICENSE
Florida MEDICAID 292606700 LICENSE

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