Leite Da Silva, Jenissa Denee
Leite Da Silva, Jenissa Denee is an individual health care provider with primary practice located at 61 Memorial Medical Pkwy Ste 2811 , Palm Coast FL 32164-5999. 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. Leite Da Silva, Jenissa Denee can be contacted via phone (386) 586-1870.Contact Information
Primary practice address
61 Memorial Medical Pkwy Ste 2811
Palm Coast FL 32164-5999
Phone: (386) 586-1870
Fax: (386) 586-1872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9113699 | Florida |
Profile Details
| NPI number | 1023615507 |
|---|---|
| LBN Legal business name | Leite Da Silva, Jenissa Denee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2020 |
| Last updated | Jun 25th, 2024 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023615507 | NPPES |
| Florida | Other | OE838 | MEDICARE HF |
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