Vega, Jennifer

Vega, Jennifer is an individual health care provider with primary practice located at 22655 Bayshore Rd Ste 110 , Port Charlotte FL 33980-2005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vega, Jennifer can be contacted via phone (941) 235-4900.

Contact Information

Primary practice address
22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005
Phone: (941) 235-4900
Fax: (941) 235-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X APRN3187822 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN3187822 Florida

Profile Details

NPI number 1033512967
LBN Legal business name Vega, Jennifer
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Jun 27th, 2024 - about last year

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 1033512967 NPPES
Florida MEDICAID 013588000

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