Healthcare Provider Details

I. General information

NPI: 1154869493
Provider Name (Legal Business Name): JENNIFER LYNN NAPIER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 SEMINOLA BLVD
CASSELBERRY FL
32707-3057
US

IV. Provider business mailing address

207 RAMBLEWOOD DR
SANFORD FL
32773-5585
US

V. Phone/Fax

Practice location:
  • Phone: 407-678-6655
  • Fax:
Mailing address:
  • Phone: 407-402-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: