Thiel, Jennifer Rebecca

Thiel, Jennifer Rebecca is an individual health care provider with primary practice located at 2910 Brownwood Blvd , The Villages FL 32163-2032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Thiel, Jennifer Rebecca can be contacted via phone (352) 674-1790.

Contact Information

Primary practice address
2910 Brownwood Blvd The Villages FL 32163-2032
Phone: (352) 674-1790
Fax: (352) 674-8990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9495967 Florida

Profile Details

NPI number 1427447952
LBN Legal business name Thiel, Jennifer Rebecca
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2015
Last updated Jun 3rd, 2021 - about 4 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 1427447952 NPPES
Florida Other ARNP9495967 FL NP LICENSE
Florida Other RN9495967 FL NP LICENSE

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