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Individual

JENNIFER V ANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
493 PROSPERITY LAKE DR, ST AUGUSTINE, FL 32092-5045
(904) 824-5437
(904) 824-7575
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(904) 824-5437
(904) 824-7575

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9247077
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008383300
FL
Enumeration date
10/24/2006
Last updated
03/04/2022
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