Healthcare Provider Details

I. General information

NPI: 1235188749
Provider Name (Legal Business Name): JENNIFER LYNNE HARPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3736 W OAKLAND PARK BLVD
LAUDERDALE LAKES FL
33311-1157
US

IV. Provider business mailing address

3736 W OAKLAND PARK BLVD
LAUDERDALE LAKES FL
33311-1157
US

V. Phone/Fax

Practice location:
  • Phone: 954-759-7599
  • Fax: 954-888-3813
Mailing address:
  • Phone: 954-759-7599
  • Fax: 954-888-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMEFL94715
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: