Richie, Jennifer

Richie, Jennifer is an individual health care provider with primary practice located at 802 W Dr Martin Luther King Jr Blvd Ste D , Plant City FL 33563-5105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richie, Jennifer can be contacted via phone (813) 754-1496.

Contact Information

Primary practice address
802 W Dr Martin Luther King Jr Blvd Ste D Plant City FL 33563-5105
Phone: (813) 754-1496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP017689 Pennsylvania

Profile Details

NPI number 1063930121
LBN Legal business name Richie, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Mar 22nd, 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 1063930121 NPPES
Pennsylvania Other SP017689 CERTIFIED REGISTERED NURSE PRACTIONER

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