Individual
JENNIFER ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5802 BEE RIDGE RD STE 103, SARASOTA, FL 34233-5069
(941) 203-5111
Mailing address
130 CLEAR LAKE DR, ENGLEWOOD, FL 34223-5230
(941) 468-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11009838
FL
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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