License Verification

Printer Friendly Version

JENNIFER ANN LONGO

License Number: ME113332

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME113332
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
06/14/2012
Address of Record
1324 Lakeland Hills Blvd
LAKELAND, FL 33805
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
BAILEY-STULTZ, MAROLDA P Prescribing Physician Assistant Physician Assistant 2031 11/12/2019
BLANKENSHIP, COURTNEY ANN Prescribing Physician Assistant Physician Assistant 9106490 11/5/2019
BUTZ, MELISSA A Prescribing Physician Assistant Physician Assistant 9102275 11/5/2019
CARDWELL, DONALD VINCENT JR Prescribing Physician Assistant Physician Assistant 3619 11/12/2019
EVERSOLE, KRISTEN SUSSANNE Prescribing Physician Assistant Physician Assistant 9103496 11/12/2019
HOARD, MICHAEL RYAN Prescribing Physician Assistant Physician Assistant 9112164 12/5/2019
JOHNSON, JILLIAN PALMER Prescribing Physician Assistant Physician Assistant 9105057 11/4/2019
LAM, BETHANY-BINH KIET Prescribing Physician Assistant Physician Assistant 9103894 11/12/2019
LEVINE, REBECCA NICOLE Prescribing Physician Assistant Physician Assistant 9112012 11/12/2019
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 12/2/2019
MARTIN, SAMANTHA LEIGH Prescribing Physician Assistant Physician Assistant 9113333 9/1/2020
MCCABE, JANET FAITH Prescribing Physician Assistant Physician Assistant 9104602 11/5/2019
MOODY, NANCY C Prescribing Physician Assistant Physician Assistant 2377 11/12/2019
MOORE, ERIN RACHEL Prescribing Physician Assistant Physician Assistant 9111310 11/5/2019
PALMER, BRIAN S Prescribing Physician Assistant Physician Assistant 1779 11/4/2019
PUTNAM, MALLORY MOODY Prescribing Physician Assistant Physician Assistant 9106745 11/4/2019
SELLERS JR, JAMES H Prescribing Physician Assistant Physician Assistant 9104288 2/13/2020
SOTO, STEFANIE Prescribing Physician Assistant Physician Assistant 9109569 11/4/2019
WALLACE, NICOLE ELIZABETH Prescribing Physician Assistant Physician Assistant 9103316 11/5/2019
WALLACE, STEVEN GREGORY JR Prescribing Physician Assistant Physician Assistant 9107761 11/12/2019
WILSON, KRISTOPHER DILLON Prescribing Physician Assistant Physician Assistant 9112568 9/1/2020
ZILBERBERG, KACEY SABRA Prescribing Physician Assistant Physician Assistant 9110491 11/12/2019

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* 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.