Individual
CARLA LEE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6610 BLUE BAY CIR, LAKE WORTH, FL 33467-7399
(561) 294-3886
Mailing address
6610 BLUE BAY CIR, LAKE WORTH, FL 33467-7399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9311196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F06171638
—
FL
Enumeration date
06/22/2017
Last updated
06/22/2017
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