Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP3386672 | FL |
NPI | 1003151309 |
---|---|
Provider Name | Jennifer Salenga Arguilla |
First Address | Jacksonville, FL 32216-1165 |
Second Address | Jacksonville, FL 32216-1165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2012 |
Last Update Date | 04/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
45681 | MEDICARE - GROUP (01) | FL |
GW727Z | MEDICARE - INDIVIDUAL (01) | FL |
Y0FX4 | FLORIDA BLUE (01) | FL |