Healthcare Provider Details

I. General information

NPI: 1508755356
Provider Name (Legal Business Name): JENNIFER NAGLE APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LEANNE SWEETZ

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 ROLLING ACRES RD STE 102
LADY LAKE FL
32159-5027
US

IV. Provider business mailing address

3920 SE 17TH ST
OCALA FL
34471-4912
US

V. Phone/Fax

Practice location:
  • Phone: 352-751-6582
  • Fax:
Mailing address:
  • Phone: 352-877-1864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11040009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: