Individual
ELIZABETH JAENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2770 CAPITAL MEDICAL BLVD STE 109C, TALLAHASSEE, FL 32308-8417
(805) 728-0230
Mailing address
2770 CAPITAL MEDICAL BLVD STE 109C, TALLAHASSEE, FL 32308-8417
(805) 728-0230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11015197
FL
363L00000X
Nurse Practitioner
95013476
CA
Other
Enumeration date
01/24/2020
Last updated
10/09/2023
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