| Doctor Name: | MRS. JENNIFER LEE BRAVOS |
| NPI Number: | 1821228792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS NP-C |
| License Number: | 749367 |
| Business Practice Address: | 340 Royal Poinciana Way Suite 315 Palm Beach, FL - 334804048 |
| Business Phone Number: | 5618328300 |
| Business Fax Number: | |
| Mailing Address: | 340 Royal Poinciana Way, Suite 315 PALM BEACH |
| State: | FL |
| Postal Code: | 334804048 |
| Phone Number: | 5618328300 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2009 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 749367 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |