Provider Demographics
NPI:1275283178
Name:GUE, JENNIFER FINKLEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FINKLEY
Last Name:GUE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 SE 75TH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-8027
Mailing Address - Country:US
Mailing Address - Phone:352-872-1721
Mailing Address - Fax:
Practice Address - Street 1:2540 SE 75TH BLVD
Practice Address - Street 2:
Practice Address - City:BUSHNELL
Practice Address - State:FL
Practice Address - Zip Code:33513-8027
Practice Address - Country:US
Practice Address - Phone:352-872-1721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11018845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily