Angel, Jennifer V

Angel, Jennifer V is an individual health care provider with primary practice located at 493 Prosperity Lake Dr , St Augustine FL 32092-5045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Angel, Jennifer V can be contacted via phone (904) 824-5437.

Contact Information

Primary practice address
493 Prosperity Lake Dr St Augustine FL 32092-5045
Phone: (904) 824-5437
Fax: (904) 824-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9247077 Florida

Profile Details

NPI number 1255415725
LBN Legal business name Angel, Jennifer V
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 4th, 2022 - about 3 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 1255415725 NPPES
Florida MEDICAID 008383300

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