Provider Demographics
NPI:1790066850
Name:ZERPA, JEANNETTE ANGELA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JEANNETTE
Middle Name:ANGELA
Last Name:ZERPA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:JEANNETTE
Other - Middle Name:ANGELA
Other - Last Name:DIANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:9800 EAST CALUSA CLUB DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:305-588-9377
Mailing Address - Fax:
Practice Address - Street 1:3200 SW 60TH CT
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4000
Practice Address - Country:US
Practice Address - Phone:305-662-8320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL78905-2363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics