Thayer, Jennifer Margaret

Thayer, Jennifer Margaret is an sole proprietor health care provider with primary practice located at 3003 W Dr Martin Luther King Jr Blvd Mab 3Rd Floor, Tampa FL 33607-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thayer, Jennifer Margaret can be contacted via phone (813) 870-4438.

Contact Information

Primary practice address
3003 W Dr Martin Luther King Jr Blvd Mab 3Rd Floor Tampa FL 33607-6307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9252067 Florida

Profile Details

NPI number 1467650630
LBN Legal business name Thayer, Jennifer Margaret
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Sep 14th, 2010 - 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 1467650630 NPPES
Florida Other ARNP9252067 ARNP LICENSE

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