Healthcare Provider Details

I. General information

NPI: 1033655840
Provider Name (Legal Business Name): JENNIFER MARY HIGHFIELD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 JOHNSON ST #4440
HOLLYWOOD FL
33021-5421
US

IV. Provider business mailing address

11045 NW 46TH DR
CORAL SPRINGS FL
33076-2134
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-6301
  • Fax: 954-266-4006
Mailing address:
  • Phone: 954-552-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberARNP 9319302
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: