Thompson, Jennifer Ellen

Thompson, Jennifer Ellen is an individual health care provider with primary practice located at 4525 Sw 13Th St , Gainesville FL 32608-3901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Thompson, Jennifer Ellen can be contacted via phone (352) 377-8619.

Contact Information

Primary practice address
4525 Sw 13Th St Gainesville FL 32608-3901
Phone: (352) 377-8619
Fax: (352) 371-9674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102686 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102686 Florida

Profile Details

NPI number 1497709406
LBN Legal business name Thompson, Jennifer Ellen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jan 18th, 2022 - about 4 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 1497709406 NPPES
Florida MEDICAID 009862200

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