Individual
JENNIFER ANNE SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, CPNP-PC
Contact information
Practice address
725 W GRANADA BLVD STE 1, ORMOND BEACH, FL 32174-9406
(386) 673-2770
(386) 673-2760
Mailing address
725 W GRANADA BLVD STE 1, ORMOND BEACH, FL 32174-9406
(386) 673-2770
(386) 673-2760
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
280522
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9179926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124476600
—
FL
Enumeration date
07/16/2018
Last updated
01/30/2025
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