Individual
JENNIFER DE GASPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8218
Mailing address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
662619
FL
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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