Jennifer Lynn Brinckerhoff, PA-C
Physician Assistant, Medical in Orlando, FL. Individual provider (NPI-1).
NPI number1902209844
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1902209844
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Brinckerhoff
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2014
- Last updated
- Jun 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9108310 | FL | Yes |
| 207N00000X | Dermatology | PA9108310 | FL |
Other names
- Jennifer Lynn Henderson (Former Name)
Practice location
4750 The Grove Drive Ste 280Orlando, FL 32819
Phone 407-704-7546 · Fax 321-400-1109
Mailing address
4750 The Grove Drive Ste 280Orlando, FL 32819
Phone 407-704-7546 · Fax 321-400-1109
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