Healthcare Provider Details

I. General information

NPI: 1184882334
Provider Name (Legal Business Name): JANA LYNN ESDEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANA LYNN GEIGER

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E HIGHWAY 50 STE 205
CLERMONT FL
34711-1975
US

IV. Provider business mailing address

4036 GREYSTONE DR
CLERMONT FL
34711-7197
US

V. Phone/Fax

Practice location:
  • Phone: 352-717-3760
  • Fax:
Mailing address:
  • Phone: 802-316-1219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11002572
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: