Provider Demographics
NPI:1013195726
Name:CALL, JENNIFER LYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:CALL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:18928 N DALE MABRY HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4922
Mailing Address - Country:US
Mailing Address - Phone:813-909-1146
Mailing Address - Fax:813-909-4334
Practice Address - Street 1:1838 HEALTH CARE DR BLDG 2
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5362
Practice Address - Country:US
Practice Address - Phone:727-375-8528
Practice Address - Fax:727-372-7040
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2014-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104465363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical