Reilly-Hernandez, Suzanne Marie

Reilly-Hernandez, Suzanne Marie is an sole proprietor health care provider with primary practice located at 1327 Jefferson Ave Apt A , Orange Park FL 32065-6507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Reilly-Hernandez, Suzanne Marie can be contacted via phone (321) 276-2481.

Contact Information

Primary practice address
1327 Jefferson Ave Apt A Orange Park FL 32065-6507
Phone: (321) 276-2481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11003050 Florida

Profile Details

NPI number 1760044267
LBN Legal business name Reilly-Hernandez, Suzanne Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2019 - about 7 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 1760044267 NPPES
Florida Other RN9206895 RN LICENSE NUMBER

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