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Jennifer Rae Witt, CPNP
Pediatric Nurse Practitioner in Port St Lucie, Florida
NPI 1629190731

Jennifer Rae Witt is a Pediatric Nurse Practitioner based in Port St Lucie, FL and is specialized in Pediatrics. Jennifer Rae Witt practices in Port St Lucie, FL and has the professional credentials of CPNP. The NPI Number for Jennifer Rae Witt is 1629190731 and holds a License No. APRN11008019 (Florida).

The current practice location address for Jennifer Rae Witt is 150 Sw Chamber Ct Ste 101, Port St Lucie, FL and can be reached out via phone at 772-301-0123 and via fax at 772-301-0124.

Location: 150 Sw Chamber Ct Ste 101, Port St Lucie, FL, 34986-3413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629190731
Provider Name
Jennifer Rae Witt
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
150 Sw Chamber Ct Ste 101, Port St Lucie, FL, 34986-3413
Phone Number
772-301-0123
Fax Number
772-301-0124
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7005607 05 NC
NP3325 05 SC
1629190731 05 NC
institution
Provider Business Practice Location Address Details
Address
150 Sw Chamber Ct Ste 101
City
Port St Lucie
State
Florida
Zip
34986-3413
Phone Number
772-301-0123
Fax Number
772-301-0124
person
Provider Business Mailing Address Details
Address
150 Sw Chamber Ct Ste 101
City
Port St Lucie
State
Florida
Zip
34986-3413
Phone Number
772-301-0123
Fax Number
772-301-0124
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0050-1620 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
APRN11008019 (Florida)
Definition
Definition to come...
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