Provider Demographics
NPI:1437337920
Name:CUOMO, JENNIFER MAY (RN)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:MAY
Last Name:CUOMO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SOUTH WESTSHORE BLVD
Mailing Address - Street 2:APT. 530
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3040
Mailing Address - Country:US
Mailing Address - Phone:239-691-0169
Mailing Address - Fax:
Practice Address - Street 1:4800 SOUTH WESTSHORE BLVD
Practice Address - Street 2:APT. 530
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3040
Practice Address - Country:US
Practice Address - Phone:239-691-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9253786163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse