Individual
JENNA GUERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-6260
(239) 343-6259
Mailing address
4084 WILMONT PL, FORT MYERS, FL 33916-8042
(203) 597-7998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119970000
—
FL
Enumeration date
08/28/2023
Last updated
10/27/2023
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