Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP 1908322 | FL |
NPI | 1235676909 |
---|---|
Provider Name | Jennifer Price |
First Address | Land O Lakes, FL 34639-6158 |
Second Address | Land O Lakes, FL 34639-6158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2017 |
Last Update Date | 19/01/2017 |