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Individual

CHRISTINE M JAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP, MS, RN

Contact information

Practice address
16230 SUMMERLIN RD STE 215, FORT MYERS, FL 33908-5769
(239) 343-7474
(239) 343-4190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7474
(239) 343-4190

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11005672
FL
363LP0200X
Pediatric Nurse Practitioner
NPP37580
RI
363LP0200X
Pediatric Nurse Practitioner
RN2262105
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110020639B
MA
05
115886100
FL
05
CH83544
RI
Enumeration date
09/11/2010
Last updated
12/08/2022
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