Davis, Jennifer Arenas

Davis, Jennifer Arenas is an sole proprietor health care provider with primary practice located at 601 5Th St S , St Petersburg FL 33701-4804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Davis, Jennifer Arenas can be contacted via phone (727) 767-6666.

Contact Information

Primary practice address
601 5Th St S St Petersburg FL 33701-4804
Phone: (727) 767-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2201 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102922 Florida

Profile Details

NPI number 1356391973
LBN Legal business name Davis, Jennifer Arenas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Aug 4th, 2023 - 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 1356391973 NPPES
Florida MEDICAID 018787000

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