Individual
MRS. JENNIFER LEIGH STASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
3404 W ALLINE AVE, TAMPA, FL 33611-2724
(813) 831-1199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN518054L
PA
163W00000X
Registered Nurse
RN9167458
FL
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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