Healthcare Provider Details

I. General information

NPI: 1720463771
Provider Name (Legal Business Name): JENNIFFER MARIE NAVEDO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 E MICHIGAN ST STE 118
ORLANDO FL
32806-4645
US

IV. Provider business mailing address

1033 PRIORY CIR
WINTER GARDEN FL
34787-5559
US

V. Phone/Fax

Practice location:
  • Phone: 877-352-5864
  • Fax:
Mailing address:
  • Phone: 321-402-4623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP 9257972
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: