Overview
Name: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Specialty: Obstetrics & Gynecology Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Obstetrics & Gynecology.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,2484 CARING WAY UNIT D,PORT CHARLOTTE,FL,339525306,US
Mailing Address: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,PO BOX 689022,FRANKLIN,TN,370689022,US
Contact #
Practice location phone #: 9412052666
Practice location fax #: 9412052665
Mailing address Phone #: 6154657211
Mailing Address fax #: 6156286877
Authorized official Name/Telephone #:JENNIFER, L, JACKSON, SR DIR PROV ENROLLMENT & ONBOARDING 6154653334
Misc
Date NPI was obtained: 08/25/2021
Last data data was updated: 03/18/2022
Insurances: