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NPI Code Detail

MEDICARE: J M TENER, NP, PA

MEDICARE: J M TENER, NP, PA
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
1363LF0000XFamily Nurse PractitionerARNP9223838FL

General Provider Information

NPI Number : 1427341478
Entity Type Code : Organization
Provider Name (Legal Business Name) : J M TENER, NP, PA
Provider Business Mailing Address
First Line : 2 20TH AVE S
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6255
Country : US
Telephone Number : 904-200-2244
Fax Number : 904-372-0977
Provider Business Practice Location Address
First Line : 4217 BAYMEADOWS RD
Second Line : SUITE 3
City : JACKSONVILLE
State : FL
Zip : 32217-4676
Country : US
Telephone Number : 904-332-7431
Fax Number : 904-332-7408
Authorized Official
Title or Position : PRESIDENT
Name : MRS. JENEA MARY TENER
Credential : ARNP
Telephone Number : 904-200-2244
Provider Enumeration Date : 05/24/2011
Last Update Date : 09/15/2011

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