Healthcare Provider Details

I. General information

NPI: 1073039137
Provider Name (Legal Business Name): JENNIFER ANN CONE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER ANN WOOD NP

II. Dates (important events)

Enumeration Date: 08/20/2017
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 N PROSPECT AVE
LECANTO FL
34461-9792
US

IV. Provider business mailing address

PO BOX 2066
LECANTO FL
34460-2066
US

V. Phone/Fax

Practice location:
  • Phone: 352-527-6888
  • Fax:
Mailing address:
  • Phone: 352-527-6888
  • Fax: 352-527-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberAPRN-NP-147213
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11045966
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: