Provider Demographics
NPI:1700481199
Name:SINGH, CHEVONNE JASS (APRN)
Entity type:Individual
Prefix:MS
First Name:CHEVONNE
Middle Name:JASS
Last Name:SINGH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHEVONNE
Other - Middle Name:JASS
Other - Last Name:YAMRAJ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:4390 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-4920
Mailing Address - Country:US
Mailing Address - Phone:727-513-4100
Mailing Address - Fax:727-565-4979
Practice Address - Street 1:4390 66TH ST N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-4920
Practice Address - Country:US
Practice Address - Phone:727-513-4100
Practice Address - Fax:727-565-4979
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily