Provider Demographics
NPI:1881213700
Name:PRIORITY HOUSE CALLS LLC
Entity Type:Organization
Organization Name:PRIORITY HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AYREY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:321-917-6788
Mailing Address - Street 1:1347 GEM CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-6420
Mailing Address - Country:US
Mailing Address - Phone:321-917-6788
Mailing Address - Fax:
Practice Address - Street 1:1347 GEM CIR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-6420
Practice Address - Country:US
Practice Address - Phone:321-917-6788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty