Rackley, Jennifer

Rackley, Jennifer is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rackley, Jennifer can be contacted via phone (352) 265-0665.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-0665
Fax: (352) 265-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9231986 Florida

Profile Details

NPI number 1306251244
LBN Legal business name Rackley, Jennifer
Credentials MSN, ARNP, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Oct 9th, 2014 - about 12 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 1306251244 NPPES
Florida MEDICAID 012343900

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