NPI 1003432360

Jennifer Rose Baker Koebert, PAC

Practitioner Physician Assistant Tampa, FL

Practice location

Address: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808
Phone: (813) 396-0768
Mailing address: 4916 Ebensburg Dr, Tampa, FL 33647-1381

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9113170 (FL)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-10048 (NC)

Registry record

NPI: 1003432360
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2020
Record last updated: 23 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.