Individual
MRS. JENNIFER CASOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2671 W NORVELL BRYANT HWY, LECANTO, FL 34461-9440
(352) 513-5906
(352) 513-4872
Mailing address
2671 W NORVELL BRYANT HWY, LECANTO, FL 34461-9440
(525) 135-9063
(352) 513-4872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11002865
FL
Other
Enumeration date
06/21/2019
Last updated
12/23/2019
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