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NPI Code Detail

MEDICARE: MS. JENNIFER AMY ANDERSON APRN

MEDICARE: MS. JENNIFER AMY ANDERSON 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
1163W00000XRegistered NurseRN9323208FL
2363LF0000XFamily Nurse PractitionerAPRN11039705FL
3363L00000XNurse PractitionerAPRN11039705FL

General Provider Information

NPI Number : 1922806033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER AMY ANDERSON APRN
Provider Business Mailing Address
First Line : 20072 HEATHERSTONE WAY UNIT 1
Second Line :
City : ESTERO
State : FL
Zip : 33928-3099
Country : US
Telephone Number : 716-740-6957
Fax Number :
Provider Business Practice Location Address
First Line : 11181 HEALTH PARK BLVD STE 1115
Second Line :
City : NAPLES
State : FL
Zip : 34110-5742
Country : US
Telephone Number : 239-597-4440
Fax Number : 239-597-4441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2025
Last Update Date : 10/24/2025

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