Staple, Jennifer

Staple, Jennifer is an individual health care provider with primary practice located at 3763 Evans Ave , Fort Myers FL 33901. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Staple, Jennifer can be contacted via phone (239) 332-6937.

Contact Information

Primary practice address
3763 Evans Ave Fort Myers FL 33901
Phone: (239) 332-6937
Fax: (239) 332-0287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1770925802
LBN Legal business name Staple, Jennifer
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2013
Last updated Mar 22nd, 2023 - about 3 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 1770925802 NPPES
Florida MEDICAID 025039400

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