Whitehead, Jennifer Jo

Whitehead, Jennifer Jo is an individual health care provider with primary practice located at 6950 Outreach Way , North Port FL 34287-3405. 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. Whitehead, Jennifer Jo can be contacted via phone (941) 529-0200.

Contact Information

Primary practice address
6950 Outreach Way North Port FL 34287-3405
Phone: (941) 529-0200
Fax: (955) 212-2460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9520298 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11020985 Florida

Profile Details

NPI number 1942933049
LBN Legal business name Whitehead, Jennifer Jo
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2022
Last updated Apr 12th, 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 1942933049 NPPES
Other NONE NONE
Other NA NONE

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