JENNIFER MING YIN SU
NPI 1508627506
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since January 17, 2024
12901 BRUCE B DOWNS BLVD # 5, TAMPA, FL 33612(813) 974-8926 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Ming Yin Su NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MING YIN SU (NPI 1508627506) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1508627506
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER MING YIN SU
Location Address12901 BRUCE B DOWNS BLVD # 5Tampa, FL 33612-4742
Mailing Address12901 Bruce B Downs Blvd # 5Tampa, FL 33612-4742 · (813) 974-8926
Sole ProprietorYes
Enumeration DateJanuary 17, 2024
Last NPPES UpdateMarch 14, 2026
NPPES CertifiedMarch 14, 2026
NPI 1508627506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12901 BRUCE B DOWNS BLVD # 5, Tampa, FL 33612

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612
Student in an Organized Health Care Education/Training Program
12901 BRUCE B DOWNS BLVD # 5
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508627506, enumerated as an "individual" on January 17, 2024.

The provider is located at 12901 BRUCE B DOWNS BLVD # 5 TAMPA, FL 33612 and the phone number is (813) 974-8926.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.