Individual
JENNIFER CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3890 TAMPA RD STE 407, PALM HARBOR, FL 34684-3675
(727) 773-9796
Mailing address
3890 TAMPA RD STE 407, PALM HARBOR, FL 34684-3675
(727) 773-9796
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9109237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9109237
LICENSE
FL
Enumeration date
09/27/2006
Last updated
11/06/2025
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