Mercado, Jennifer

Mercado, Jennifer is an individual health care provider with primary practice located at 2043 Little Rd , Trinity FL 34655-4421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mercado, Jennifer can be contacted via phone (727) 846-7000.

Contact Information

Primary practice address
2043 Little Rd Trinity FL 34655-4421
Phone: (727) 846-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN11020712 Florida

Profile Details

NPI number 1477287910
LBN Legal business name Mercado, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Dec 16th, 2022 - about 2 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 1477287910 NPPES
Florida MEDICAID 115838600
Florida Other PZ987

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