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NPI Code Detail

MEDICARE: JENNIFER DREWS

MEDICARE: JENNIFER DREWS
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912491622
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DREWS
Provider Business Mailing Address
First Line : 8787 SOUTHSIDE BLVD APT 3208
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3528
Country : US
Telephone Number : 262-844-8081
Fax Number :
Provider Business Practice Location Address
First Line : 14286 BEACH BLVD STE 34
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32250-1570
Country : US
Telephone Number : 904-345-7510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 06/15/2018

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Directions to “ JENNIFER DREWS ” Practice Location

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