Individual
MRS. JENNA MCVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
1108 PARKSIDE DR, ORMOND BEACH, FL 32174
(386) 123-4567
Mailing address
1108 PARKSIDE DR, ORMOND BEACH, FL 32174
(386) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11045170
FL
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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