Samani, Jacqueline Lent

Samani, Jacqueline Lent is an sole proprietor health care provider with primary practice located at 220 N Sykes Creek Pkwy Ste 301 , Merritt Island FL 32953-3490. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Samani, Jacqueline Lent can be contacted via phone (321) 361-5537.

Contact Information

Primary practice address
220 N Sykes Creek Pkwy Ste 301 Merritt Island FL 32953-3490
Phone: (321) 361-5537
Fax: (321) 361-5543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9481192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11009839 Florida

Profile Details

NPI number 1134693773
LBN Legal business name Samani, Jacqueline Lent
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2019
Last updated Mar 22nd, 2021 - about 5 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 1134693773 NPPES
Florida Other NN820 FL MEDICARE

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