Jennings, Carla Lee
Jennings, Carla Lee is an sole proprietor health care provider with primary practice located at 6610 Blue Bay Cir , Lake Worth FL 33467-7399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jennings, Carla Lee can be contacted via phone (561) 294-3886.Contact Information
Primary practice address
6610 Blue Bay Cir
Lake Worth FL 33467-7399
Phone: (561) 294-3886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9311196 | Florida |
Profile Details
| NPI number | 1265952071 |
|---|---|
| LBN Legal business name | Jennings, Carla Lee |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2017 |
| Last updated | Jun 22nd, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265952071 | NPPES |
| Florida | MEDICAID | F06171638 |
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