Jenna Rose Ryan
Nurse Practitioner - Neonatal
655 W 8th St
Jacksonville
, Florida 32209-6511
Jenna Rose Ryan
Nurse Practitioner - Neonatal
655 W 8th St
Jacksonville
, Florida 32209-6511
(518) 894-5722
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Jenna Rose Ryan
- 7563 Cliff Cottage Dr
- Jacksonville, FL
- Zip : 32244-4460
- Phone : (518) 894-5722
Second Address
- Jenna Rose Ryan
- 655 W 8th St
- Jacksonville, FL
- Zip : 32209-6511
- Phone : (904) 244-0411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | ARNP9404511 | FL |
National Provider Identifier
| NPI | 1144696162 |
|---|---|
| Provider Name | Jenna Rose Ryan |
| First Address | Jacksonville, FL 32244-4460 |
| Second Address | Jacksonville, FL 32209-6511 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2015 |
| Last Update Date | 17/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003169912A | (05) | GA |
| 015524800 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.