Individual
MRS. JENNIFER LYN AYREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
1347 GEM CIR, ROCKLEDGE, FL 32955-6420
(321) 917-6788
(321) 284-8620
Mailing address
1347 GEM CIR, ROCKLEDGE, FL 32955-6420
(321) 917-6788
(321) 284-8620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9238948
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9238948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021228600
—
FL
Enumeration date
04/04/2017
Last updated
04/22/2020
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