Jennifer Lynne Hancock
Nurse Practitioner, Psych/Mental Health in Clearwater, FL. Individual provider (NPI-1).
NPI number1164091542
StatusActive
Last updated in NPPESDec 13, 2021
Details
- NPI
- 1164091542
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynne Hancock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2021
- Certification date
- Dec 13, 2021
- Last updated
- Dec 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 11013781 | FL | Yes |
Practice location
1437 S Belcher RdClearwater, FL 33764-2829
Phone 727-524-4464
Mailing address
1437 S Belcher RdClearwater, FL 33764-2829
Phone 727-524-4464
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