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NPI Code Detail

MEDICARE: MRS. JENNIFER LISA VEDRAL-BARON ARNP

MEDICARE:  MRS. JENNIFER LISA VEDRAL-BARON  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
1363LA2200XAdult Health Nurse Practitioner1527892FL

General Provider Information

NPI Number : 1972590826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LISA VEDRAL-BARON ARNP
Provider Business Mailing Address
First Line : 6183 ECLIPSE CIR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-8434
Country : US
Telephone Number : 904-379-4761
Fax Number :
Provider Business Practice Location Address
First Line : NAVAL HOSPITAL JACKSONVILLE
Second Line : 2080 CHILD STREET
City : JACKSONVILLE
State : FL
Zip : 32214-0001
Country : US
Telephone Number : 904-542-7312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 10/16/2008

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Directions to “ MRS. JENNIFER LISA VEDRAL-BARON ARNP” Practice Location

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