Individual
JENNIFER RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 N WHEELER ST, PLANT CITY, FL 33563-1860
(877) 640-7820
Mailing address
2011 N WHEELER ST, PLANT CITY, FL 33563-1860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP017689
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9494033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP017689
CERTIFIED REGISTERED NURSE PRACTIONER
PA
Enumeration date
09/08/2017
Last updated
12/16/2024
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