Healthcare Provider Details

I. General information

NPI: 1578513412
Provider Name (Legal Business Name): JENNIFER L ALBERS DONAHUE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER ALBERS CRNA

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N. ROLLINS STREET
ORLANDO FL
32803-9999
US

IV. Provider business mailing address

851 TRAFALGAR CT STE 200E
MAITLAND FL
32751-7420
US

V. Phone/Fax

Practice location:
  • Phone: 407-667-0444
  • Fax: 407-667-4338
Mailing address:
  • Phone: 407-667-0444
  • Fax: 407-667-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 2833252
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2833252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: