Organization
DTSP PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARY SENIOR DNP (NURSE PRACTITIONER)
(727) 210-5623
Entity
Organization
Contact information
Practice address
175 2ND ST S APT 1001, SAINT PETERSBURG, FL 33701-4319
(727) 210-5823
(817) 612-3416
Mailing address
175 2ND ST S APT 1001, SAINT PETERSBURG, FL 33701-4319
(727) 210-5823
(817) 612-3416
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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