# JENNIFER ALSINA GUTIERREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003447038
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA9116087 | FL | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 03/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 114919700 | — | FL |
| 01 | — | VB56H | BLUE CROSS BLUE SHIELD | FL |
