Kelsey, Jennifer M
Kelsey, Jennifer M is an individual health care provider with primary practice located at 4100 Metric Dr Suite 200, Winter Park FL 32792-6837. 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. Kelsey, Jennifer M can be contacted via phone (407) 681-8720.Contact Information
Primary practice address
4100 Metric Dr Suite 200
Winter Park FL 32792-6837
Phone: (407) 681-8720
Fax: (407) 681-8729
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9191787 | Florida |
Profile Details
NPI number | 1740460930 |
---|---|
LBN Legal business name | Kelsey, Jennifer M |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2007 |
Last updated | Apr 29th, 2008 - about 16 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 | 1740460930 | NPPES |
Florida | MEDICAID | 308888000 |
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