Individual
JENNIFER MICHELLE STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1775 E BAY DR, LARGO, FL 33771-2213
(727) 441-1508
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(727) 441-1508
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
06/04/2024
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