Provider Demographics
NPI:1578316303
Name:GASPARINI, JENNIFER BARRON
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BARRON
Last Name:GASPARINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 SW CULPEPPER AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2745
Mailing Address - Country:US
Mailing Address - Phone:772-530-1677
Mailing Address - Fax:
Practice Address - Street 1:2290 SW CULPEPPER AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2745
Practice Address - Country:US
Practice Address - Phone:772-530-1677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health