Individual
MS. JENNIFER KING GODSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
4301 N HABANA AVE, TAMPA, FL 33607-6546
(813) 876-0951
(813) 443-8140
Mailing address
4301 N HABANA AVE, TAMPA, FL 33607-6546
(813) 876-0951
(813) 443-8140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209030712
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
9175263
FL
Other
Enumeration date
04/21/2010
Last updated
12/13/2024
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