Individual
MS. JENNIFER ELLEN FACCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
1756682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034947000
—
FL
01
—
P63440
UPIN
—
Enumeration date
03/17/2010
Last updated
03/17/2010
Update your record
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