Healthcare Provider Details

I. General information

NPI: 1336058825
Provider Name (Legal Business Name): JENNIFER MAGANIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US NAVAL HOSPITAL OKINAWA CAMP FOSTER
FPO AP
96362
US

IV. Provider business mailing address

PSC 480 BOX 516
FPO AP
96370-0006
US

V. Phone/Fax

Practice location:
  • Phone: 315-646-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN9401509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: