MEDICARE: JEANETTE NEGRON APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9393861	FL
2	363LP0200X	Pediatric Nurse Practitioner	11034742	FL

General Provider Information

NPI Number	:	1124796123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTE NEGRON APRN

Provider Business Mailing Address
First Line	:	8875 MERRIFIELD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-3819
Country	:	US
Telephone Number	:	954-263-5582
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-8744
Country	:	US
Telephone Number	:	407-286-3653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	09/23/2025

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