Ottoson, Jenny

Ottoson, Jenny is an individual health care provider with primary practice located at 12600 Creekside Ln Ste 2 , Fort Myers FL 33919-3353. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ottoson, Jenny can be contacted via phone (239) 343-9235.

Contact Information

Primary practice address
12600 Creekside Ln Ste 2 Fort Myers FL 33919-3353
Phone: (239) 343-9235
Fax: (239) 343-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12244 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 12244 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115206 Florida

Profile Details

NPI number 1588117352
LBN Legal business name Ottoson, Jenny
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2016
Last updated Sep 6th, 2023 - about 3 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 1588117352 NPPES
Florida MEDICAID 112821000

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