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Individual
JENNIFER GONZALEZ
Active
Individual
JENNIFER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11024645
FL
363LF0000X
Family Nurse Practitioner
13074-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11024645
APRN LICENSE
FL
Enumeration date
02/22/2023
Last updated
02/22/2023
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