Healthcare Provider Details

I. General information

NPI: 1225099146
Provider Name (Legal Business Name): JENNIFER B. HOOD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 PRATT BLVD
LABELLE FL
33935-4405
US

IV. Provider business mailing address

1017 LANET AVE
LABELLE FL
33935-9789
US

V. Phone/Fax

Practice location:
  • Phone: 863-674-4056
  • Fax:
Mailing address:
  • Phone: 863-612-9205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP2942772
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: