Individual
JENNIFER C EZIEFUOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8610 STATE ROAD 70 E, BRADENTON, FL 34202-3785
(941) 242-1929
(941) 242-5116
Mailing address
8610 STATE ROAD 70 E, BRADENTON, FL 34202-3785
(941) 242-1929
(941) 242-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN
FL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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