Wimmer, Jenna Lea

Wimmer, Jenna Lea is an individual health care provider with primary practice located at 4122 Metric Dr Ste 800 , Winter Park FL 32792-6809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wimmer, Jenna Lea can be contacted via phone (407) 645-2577.

Contact Information

Primary practice address
4122 Metric Dr Ste 800 Winter Park FL 32792-6809
Phone: (407) 645-2577
Fax: (407) 866-2793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9254453 Florida

Profile Details

NPI number 1902058035
LBN Legal business name Wimmer, Jenna Lea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Mar 10th, 2020 - about 6 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 1902058035 NPPES
Florida MEDICAID 000574100

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