Individual
JILL MAUREEN PANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1876 TRADE CENTER WAY UNIT 100, NAPLES, FL 34109-1979
(203) 379-7516
Mailing address
1876 TRADE CENTER WAY UNIT 100, NAPLES, FL 34109-1979
(203) 379-7516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002564
CT
363LA2100X
Acute Care Nurse Practitioner
002564
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
11005244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
PRIVATE INSURANCE
—
Enumeration date
07/07/2005
Last updated
04/25/2021
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