Moore, Jennifer Lynn

Moore, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 5802 E Fowler Ave , Temple Terrace FL 33617-3300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Jennifer Lynn can be contacted via phone (813) 442-7493.

Contact Information

Primary practice address
5802 E Fowler Ave Temple Terrace FL 33617-3300
Phone: (813) 442-7493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9106682 Florida

Profile Details

NPI number 1699024562
LBN Legal business name Moore, Jennifer Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2012
Last updated Sep 17th, 2020 - about 6 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 1699024562 NPPES
Florida Other PA9106682 FL LICENSE

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