Provider Demographics
NPI:1902387301
Name:FERRER, JENNIE GABRIELE
Entity Type:Individual
Prefix:DR
First Name:JENNIE
Middle Name:GABRIELE
Last Name:FERRER
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:JENNIE
Other - Middle Name:GABRIELA
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF FLORIDA 1395 CENTER DRIVE
Mailing Address - Street 2:P.O BOX 100415
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610
Mailing Address - Country:US
Mailing Address - Phone:352-273-7957
Mailing Address - Fax:
Practice Address - Street 1:1395 CENTER DRIVE UFCD
Practice Address - Street 2:DENTAL TOWER-SECOND FLOOR- OFFICE #D2-27
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0415
Practice Address - Country:US
Practice Address - Phone:352-273-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice