Healthcare Provider Details

I. General information

NPI: 1841432283
Provider Name (Legal Business Name): CHERITY RAREY JUERGENSMEYER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6171 W GULF TO LAKE HWY
CRYSTAL RIVER FL
34429-2679
US

IV. Provider business mailing address

6171 W GULF TO LAKE HWY
CRYSTAL RIVER FL
34429-2679
US

V. Phone/Fax

Practice location:
  • Phone: 352-563-0220
  • Fax:
Mailing address:
  • Phone: 352-563-0220
  • Fax: 352-563-0706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberARNP2630702
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP2630702
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: