Healthcare Provider Details

I. General information

NPI: 1407783624
Provider Name (Legal Business Name): MS. JENNIFER LYNNE PARKINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 HANCOCK BRIDGE PKWY UNIT 114D
CAPE CORAL FL
33990-1459
US

IV. Provider business mailing address

2328 HANCOCK BRIDGE PKWY UNIT 114D
CAPE CORAL FL
33990-1459
US

V. Phone/Fax

Practice location:
  • Phone: 239-464-9934
  • Fax: 239-464-9934
Mailing address:
  • Phone: 239-464-9934
  • Fax: 239-464-9934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: