Provider Demographics
NPI:1821528050
Name:POMPA, JENNIFER L (CRNA, ARNP, DNP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:POMPA
Suffix:
Gender:F
Credentials:CRNA, ARNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 SW 91ST TER STE D
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-9118
Mailing Address - Country:US
Mailing Address - Phone:352-554-5051
Mailing Address - Fax:
Practice Address - Street 1:5203 SW 91ST TER STE D
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-9118
Practice Address - Country:US
Practice Address - Phone:352-554-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9325478367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9325478OtherARNP LICENSE