Stone, Jennifer Maider

Stone, Jennifer Maider is an individual health care provider with primary practice located at 1616 Jork Rd Ste 301 , Jacksonville FL 32207-2494. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Stone, Jennifer Maider can be contacted via phone (904) 203-8559.

Contact Information

Primary practice address
1616 Jork Rd Ste 301 Jacksonville FL 32207-2494
Phone: (904) 203-8559
Fax: (904) 592-5282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5190640 Florida
Other Service Providers / Midwife 176B00000X 355 Florida

Profile Details

NPI number 1821500455
LBN Legal business name Stone, Jennifer Maider
Credentials LM, CPM, LPN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2017
Last updated Feb 12th, 2024 - about 2 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 1821500455 NPPES
Florida MEDICAID 120760300

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