Healthcare Provider Details

I. General information

NPI: 1548670219
Provider Name (Legal Business Name): JENNIFER ROSETTE AMARTEIFIO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 HARRISON PKWY SUITE 200
SUNRISE FL
33323-2896
US

IV. Provider business mailing address

6961 SCOTT ST
HOLLYWOOD FL
33024-3839
US

V. Phone/Fax

Practice location:
  • Phone: 800-437-2672
  • Fax:
Mailing address:
  • Phone: 330-285-4636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number9292361
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: