Healthcare Provider Details

I. General information

NPI: 1487565909
Provider Name (Legal Business Name): JENNIFER L PENTSY DNP, FNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 STATE ROAD 436
CASSELBERRY FL
32707-5664
US

IV. Provider business mailing address

985 STATE ROAD 436
CASSELBERRY FL
32707-5664
US

V. Phone/Fax

Practice location:
  • Phone: 407-831-5252
  • Fax:
Mailing address:
  • Phone: 407-831-5252
  • Fax: 407-831-3765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11050943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: