Richardson, Jenett C.

Richardson, Jenett C. is an sole proprietor health care provider with primary practice located at 8175 Nw 12Th St Suite 306, Doral FL 33126-1828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Richardson, Jenett C. can be contacted via phone (786) 845-0173.

Contact Information

Primary practice address
8175 Nw 12Th St Suite 306 Doral FL 33126-1828
Phone: (786) 845-0173
Fax: (786) 845-0176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP617492 Florida

Profile Details

NPI number 1265644595
LBN Legal business name Richardson, Jenett C.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 9th, 2007 - about 19 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 1265644595 NPPES
Florida MEDICAID 0279234

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