Individual
JENNIFER PATRICIA MINELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 265-0494
(352) 273-5683
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 265-0494
(352) 273-5683
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9330787
FL
363L00000X
Nurse Practitioner
Primary
APRN11000885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102915300
—
FL
Enumeration date
10/26/2018
Last updated
10/30/2019
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