Healthcare Provider Details

I. General information

NPI: 1083883565
Provider Name (Legal Business Name): STEPHANIE CAWLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS STEPHANIE JACOBS

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 UNIVERSITY BLVD STE 211
JUPITER FL
33458-2794
US

IV. Provider business mailing address

15097 75TH LN N
LOXAHATCHEE FL
33470-4485
US

V. Phone/Fax

Practice location:
  • Phone: 561-253-8121
  • Fax: 561-253-8021
Mailing address:
  • Phone: 561-784-2163
  • Fax: 561-784-2163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9182536
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: