Fowlkes, Jennifer

Fowlkes, Jennifer is an individual health care provider with primary practice located at 2140 Kingsley Ave Ste 15 , Orange Park FL 32073-5129. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fowlkes, Jennifer can be contacted via phone (904) 213-0600.

Contact Information

Primary practice address
2140 Kingsley Ave Ste 15 Orange Park FL 32073-5129
Phone: (904) 213-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R177755 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R177755 Maryland

Profile Details

NPI number 1992109896
LBN Legal business name Fowlkes, Jennifer
Credentials CRNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2014
Last updated Sep 15th, 2021 - about 5 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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