Kelsey, Jennifer M

Kelsey, Jennifer M is an individual health care provider with primary practice located at 4100 Metric Dr Suite 200, Winter Park FL 32792-6837. 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. Kelsey, Jennifer M can be contacted via phone (407) 681-8720.

Contact Information

Primary practice address
4100 Metric Dr Suite 200 Winter Park FL 32792-6837
Phone: (407) 681-8720
Fax: (407) 681-8729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9191787 Florida

Profile Details

NPI number 1740460930
LBN Legal business name Kelsey, Jennifer M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Apr 29th, 2008 - about 18 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 1740460930 NPPES
Florida MEDICAID 308888000

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