MEDICARE: MS. JENNIFER MARIE DELONG ARNP

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	363L00000X	Nurse Practitioner	ARNP9326030	FL
2	363LA2100X	Acute Care Nurse Practitioner	COA.09303-NP	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01318562	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4461784	OTHER	FL	CIGNA
3	Y08QB	OTHER	FL	BCBS OF FL
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1233501	OTHER	FL	WELLCARE
7	BCBS	OTHER	FL	Y08QB
8	P1002746	OTHER	FL	FREEDOM
9	P954560	OTHER	FL	OPTIMUM
10	9929331	OTHER	FL	AETNA
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932226305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER MARIE DELONG ARNP

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-6341
Fax Number	:	239-343-6342

Provider Business Practice Location Address
First Line	:	9981 S HEALTHPARK DR # 156
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3618
Country	:	US
Telephone Number	:	239-343-6341
Fax Number	:	239-343-6342

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	12/15/2025

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