Poe, Jennifer Peterson

Poe, Jennifer Peterson is an individual health care provider with primary practice located at 3837 Cardinal Oaks Cir , Orange Park FL 32065-4251. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Poe, Jennifer Peterson can be contacted via phone (607) 339-6652.

Contact Information

Primary practice address
3837 Cardinal Oaks Cir Orange Park FL 32065-4251
Phone: (607) 339-6652
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT16239 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT16235 Florida

Profile Details

NPI number 1992937650
LBN Legal business name Poe, Jennifer Peterson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Feb 22nd, 2024 - about 2 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 1992937650 NPPES
Florida Other OT16239 LICENSE NUMBER

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