License Verification

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JENNIFER SUE HEALY-FETTER

License Number: PA9103328

Data As Of 5/3/2024

Profession
Physician Assistant
License
PA9103328
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/20/2005
Address of Record
NAPLES COMMUNITY HOSPITAL
350 7TH STREET NORTH
NAPLES, FL 34102
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
11190 HEALTH PARK BLVD NORTH COLLIER HOSPITAL
NAPLES, FL 34110
Address
24040 S. Tamiami Trail NCH Healthcare Bonita
BONITA SPRINGS, FL 34134
Address
40 S. Healthwood Drive Marco Healthcare Center
MARCO ISLAND, FL 34145
Address
15420 COLLIER BLVD. NCH HEALTHCARE NORTHEAST
NAPLES, FL 34120
Name Relationship Profession License Effective Date
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 10/01/2023
CONKLU, EMRE MEHMET Supervising Prescribing Practitioner Osteopathic Physician 10121 10/01/2023
CRUM, MICHAEL Supervising Prescribing Practitioner Medical Doctor 140288 01/30/2020
ESPOSITO, TRAVIS Supervising Prescribing Practitioner Osteopathic Physician 19784 10/01/2023
FRIEDMAN, JOEL Supervising Prescribing Practitioner Medical Doctor 38711 10/01/2023
HUMPHRIES, ASHLEY ROSE Supervising Prescribing Practitioner Medical Doctor 160796 10/01/2023
KLEIN, JUSTIN BLAKE Supervising Prescribing Practitioner Osteopathic Physician 13685 10/01/2023
KOULIEV, TIMUR Supervising Prescribing Practitioner Medical Doctor 112603 01/30/2020
KRABACHER, KENNETH DANIEL MD Supervising Prescribing Practitioner Medical Doctor 129897 01/30/2020
KUMETZ, CHRISTOPHER ALEXEI Supervising Prescribing Practitioner Medical Doctor 135191 01/30/2020
LE, TRUNG Supervising Prescribing Practitioner Medical Doctor 154049 10/01/2023
LEE, JULIA SUN MD Supervising Prescribing Practitioner Medical Doctor 111060 01/30/2020
LEWIS, JOHN PATRICK Supervising Prescribing Practitioner Medical Doctor 65873 10/01/2023
LYNCH, TAYLOR Supervising Prescribing Practitioner Medical Doctor 160593 10/01/2023
MIAN, USMAN TARIQ Supervising Prescribing Practitioner Medical Doctor 128350 10/01/2023
PATTERSON, SHAWN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 116648 09/25/2023
VIOLARIS, JOSEPH Supervising Prescribing Practitioner Medical Doctor 140807 10/01/2023
WEST, STEVEN ALLAN M D Supervising Prescribing Practitioner Medical Doctor 56399 12/07/2015
WIETECHA, KATHERINE MARGARET Supervising Prescribing Practitioner Medical Doctor 158560 10/01/2023
YERRAMILLI, VENKATA RAO MD Supervising Prescribing Practitioner Medical Doctor 109954 01/07/2016

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/3/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.