Sibley, Jennifer Anne

Sibley, Jennifer Anne is an individual health care provider with primary practice located at 725 W Granada Blvd Ste 1 , Ormond Beach FL 32174-9406. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Sibley, Jennifer Anne can be contacted via phone (386) 673-2770.

Contact Information

Primary practice address
725 W Granada Blvd Ste 1 Ormond Beach FL 32174-9406
Fax: (386) 673-2760
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 280522 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9179926 Florida

Profile Details

NPI number 1518443233
LBN Legal business name Sibley, Jennifer Anne
Credentials DNP, ARNP, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Sep 26th, 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 1518443233 NPPES
Florida MEDICAID 101711700

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