Individual
JENNIFER SUE HEALY-FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3302 BONITA BEACH RD, # 170, BONITA SPRINGS, FL 34134-4174
(239) 624-1050
(239) 624-1051
Mailing address
3302 BONITA BEACH RD, # 170, BONITA SPRINGS, FL 34134-4174
(239) 624-1050
(239) 624-1051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292464100
—
FL
01
—
U684U
MEDICARE
FL
01
—
Y01QX
BCBS
FL
Enumeration date
09/28/2006
Last updated
09/01/2017
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