Waters, Penny

Waters, Penny is an individual health care provider with primary practice located at 6639 Southpoint Pkwy Suite 108, Jacksonville FL 32216-8041. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Waters, Penny can be contacted via phone (904) 438-7640.

Contact Information

Primary practice address
6639 Southpoint Pkwy Suite 108 Jacksonville FL 32216-8041
Phone: (904) 438-7640
Fax: (904) 438-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5210011 Florida

Profile Details

NPI number 1942670294
LBN Legal business name Waters, Penny
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 2015 - about 9 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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