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Individual

JAMIE C JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
3149 BOBCAT VILLAGE RD, 3149 BOBCAT VILLAGE RD, NORTH PORT, FL 34288
(727) 767-4741
(727) 767-2596
Mailing address
3149 BOBCAT VILLAGE RD, NORTH PORT, FL 34288
(941) 266-5629

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.17926
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
APRN.CNP.17926
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
APRN11006919
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0145456
OH
Enumeration date
08/28/2015
Last updated
08/14/2025
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