Tulli, Jennifer Lee

Tulli, Jennifer Lee is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Tulli, Jennifer Lee can be contacted via phone (352) 265-2504.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-2504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104122 Florida

Profile Details

NPI number 1669695037
LBN Legal business name Tulli, Jennifer Lee
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Oct 11th, 2020 - about 5 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 1669695037 NPPES
Florida MEDICAID 292801900

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