Jennings Ingle, Sandra M

Jennings Ingle, Sandra M is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 601, Cocoa Beach FL 32931-3577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jennings Ingle, Sandra M can be contacted via phone (321) 868-5833.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Suite 601 Cocoa Beach FL 32931-3577
Phone: (321) 868-5833
Fax: (321) 868-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2055442 Florida

Profile Details

NPI number 1083940381
LBN Legal business name Jennings Ingle, Sandra M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2009
Last updated Aug 18th, 2010 - about 16 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 1083940381 NPPES
Florida MEDICAID 292606700
Florida Other CP566

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