Jennings, Judith A
Jennings, Judith A is an sole proprietor health care provider with primary practice located at 5640 Main St , New Port Richey FL 34652-2637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jennings, Judith A can be contacted via phone (727) 841-4425.Contact Information
Primary practice address
5640 Main St
New Port Richey FL 34652-2637
Phone: (727) 841-4425
Fax: (727) 816-1956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1146562 | Florida |
Profile Details
| NPI number | 1154395739 |
|---|---|
| LBN Legal business name | Jennings, Judith A |
| Credentials | A.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Dec 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154395739 | NPPES |
| Florida | MEDICAID | 033946600 | |
| Florida | Other | Y041Q |
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