Individual
JENNIFER PROVINCE HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6701 SW 72ND ST, SUITE 212, SOUTH MIAMI, FL 33143-4529
(305) 663-0710
Mailing address
6701 SW 72ND ST, SUITE 212, SOUTH MIAMI, FL 33143-4529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 9292024
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9292024
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 9292024
FL
Other
Enumeration date
02/05/2011
Last updated
08/17/2022
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