Provider Demographics
NPI:1962724302
Name:STRAUB, JENNIFER C (RN,CNOR,RNFA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:C
Last Name:STRAUB
Suffix:
Gender:F
Credentials:RN,CNOR,RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 HIGHWAY A1A
Mailing Address - Street 2:UNIT 3702
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-1801
Mailing Address - Country:US
Mailing Address - Phone:321-610-4332
Mailing Address - Fax:321-610-4332
Practice Address - Street 1:2085 HIGHWAY A1A
Practice Address - Street 2:UNIT 3702
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-1801
Practice Address - Country:US
Practice Address - Phone:321-610-4332
Practice Address - Fax:321-610-4332
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9258238163WR0006X
NY563471163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant