Jennifer C. Teeters, PA-C
Physician Assistant in Tampa, FL. Individual provider (NPI-1).
NPI number1215366331
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1215366331
- Entity type
- Individual (NPI-1)
- Name
- Jennifer C. Teeters
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2013
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107348 | FL | Yes |
Practice location
13330 Usf Laurel Dr5th Floor
Tampa, FL 33612
Phone 813-974-2201
Mailing address
Po Box 917770Orlando, FL 32891-7770
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