Individual
JENNIFER MICHELLE STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
9325658
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11031233
FL
363LP2300X
Primary Care Nurse Practitioner
11031233
FL
Other
Enumeration date
09/07/2023
Last updated
08/20/2026
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