Witt, Jennifer Rae

Witt, Jennifer Rae is an individual health care provider with primary practice located at 150 Sw Chamber Ct Ste 101 , Port St Lucie FL 34986-3413. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Witt, Jennifer Rae can be contacted via phone (772) 301-0123.

Contact Information

Primary practice address
150 Sw Chamber Ct Ste 101 Port St Lucie FL 34986-3413
Phone: (772) 301-0123
Fax: (772) 301-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11008019 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0050-1620 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5001620 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 203964 North Carolina

Profile Details

NPI number 1629190731
LBN Legal business name Witt, Jennifer Rae
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Nov 7th, 2023 - 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 1629190731 NPPES
North Carolina MEDICAID 7005607
North Carolina MEDICAID NP3325
North Carolina MEDICAID 1629190731

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