Jennifer Sue Healy-Fetter in Bonita Springs - Physician Assistant

Jennifer Sue Healy-Fetter - NPI 1902997208

Jennifer Sue Healy-Fetter is a Physician Assistant in Bonita Springs, Florida. Jennifer Sue Healy-Fetter practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Sue Healy-Fetter is 1902997208. The last update date is 2017-09-01.

Jennifer Sue Healy-Fetter's current location address is 3302 Bonita Beach Rd, Bonita Springs, Florida. You can contact this provider via phone number 2396241050 and fax number 2396241051. The mailing address for Jennifer Sue Healy-Fetter is 3302 Bonita Beach Rd, Bonita Springs, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Sue Healy-Fetter
Address 3302 Bonita Beach Rd, Bonita Springs, Florida
Phone Number 2396241050
Fax Number 2396241051
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1902997208
Provider Enumeration Date 2006-09-28
Last Updated Date 2017-09-01

Provider Mailing Address Detail

Address 3302 Bonita Beach Rd
City Bonita Springs
State Florida (FL)
Post Code 341344174
Phone Number 2396241050
Fax Number 2396241051

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9103328
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
292464100 FL --
Y01QX FL BCBS
U684U FL MEDICARE

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FAQs about Jennifer Sue Healy-Fetter

What is the unique identification code assigned to Jennifer Sue Healy-Fetter by the Centers for Medicare & Medicaid Services?

The Jennifer Sue Healy-Fetter has been issued the NPI (National Provider Identifier) 1902997208. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jennifer Sue Healy-Fetter's facilities are geographically located?

The facilities of Jennifer Sue Healy-Fetter are physically situated at the following location: 3302 Bonita Beach Rd, Bonita Springs, FL, 341344174.

What is Jennifer Sue Healy-Fetter's area of expertise and its corresponding taxonomy classification?

The Jennifer Sue Healy-Fetter's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902997208 to Jennifer Sue Healy-Fetter?

The Centers for Medicare & Medicaid Services originally issued the 1902997208 to Jennifer Sue Healy-Fetter on 2006-09-28.

As of what date were the Jennifer Sue Healy-Fetter's details last updated?

The information pertaining to the Jennifer Sue Healy-Fetter, including its address, specialty, and other details, was most recently updated on 2017-09-01.

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