Individual
JENNIFER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11989 GRANITE WOODS LOOP, VENICE, FL 34292-4136
(813) 841-8587
Mailing address
11989 GRANITE WOODS LOOP, VENICE, FL 34292-4136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007320
FL
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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