Healthcare Provider Details

I. General information

NPI: 1457896169
Provider Name (Legal Business Name): JENNIFER MCEWAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 SW COLLEGE RD STE 102
OCALA FL
34474-4488
US

IV. Provider business mailing address

2800 SW COLLEGE RD STE 102
OCALA FL
34474-4488
US

V. Phone/Fax

Practice location:
  • Phone: 352-240-6048
  • Fax:
Mailing address:
  • Phone: 352-421-5978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9258215
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: