Individual
JENNIFER HYO CHONG MILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3003 W. MARTIN LUTHER KING BLVD, MAB 3RD FLOOR, TAMPA, FL 33607
(813) 870-4438
(813) 870-4153
Mailing address
3003 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607
(813) 870-4438
(813) 870-4153
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9220452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9220452
ARNP LICENSE
FL
Enumeration date
07/12/2007
Last updated
08/29/2011
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