Healthcare Provider Details

I. General information

NPI: 1982144291
Provider Name (Legal Business Name): JENNIFER ELIZABETH STRONG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 GRASMERE DR
LAND O LAKES FL
34637-7602
US

IV. Provider business mailing address

7750 GRASMERE DR
LAND O LAKES FL
34637-7602
US

V. Phone/Fax

Practice location:
  • Phone: 813-995-5236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9211878
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN9211878
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: