Jett, Kathleen Freudenberger

Jett, Kathleen Freudenberger is an individual health care provider with primary practice located at 25426 Nw 166Th Ave , High Springs FL 32643-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Jett, Kathleen Freudenberger can be contacted via phone (561) 870-3396.

Contact Information

Primary practice address
25426 Nw 166Th Ave High Springs FL 32643-1658
Phone: (561) 870-3396
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP 9179046 Florida

Profile Details

NPI number 1649336728
LBN Legal business name Jett, Kathleen Freudenberger
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Feb 4th, 2011 - about 14 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 1649336728 NPPES
Florida MEDICAID 305593100

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