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NPI Code Detail

MEDICARE: MRS. JENNIFER WOLF EDGSON R.N., C.C.M.

MEDICARE: MRS. JENNIFER WOLF EDGSON R.N., C.C.M.
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
1163WC0400XCase Management Registered NurseRN9164010FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407866635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER WOLF EDGSON R.N., C.C.M.
Provider Business Mailing Address
First Line : 4432 ROBIN HOOD TRL W
Second Line :
City : SARASOTA
State : FL
Zip : 34232-2637
Country : US
Telephone Number : 941-377-8313
Fax Number : 941-377-0194
Provider Business Practice Location Address
First Line : 2020 CATTLEMEN RD
Second Line : SUITE 600
City : SARASOTA
State : FL
Zip : 34232-6283
Country : US
Telephone Number : 941-955-5191
Fax Number : 941-341-4269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/09/2007

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