Healthcare Provider Details

I. General information

NPI: 1386529816
Provider Name (Legal Business Name): JENNIFFER CAROLINA BLANDIN HINOJOSA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8615 COMMODITY CIR STE 17
ORLANDO FL
32819-9072
US

IV. Provider business mailing address

8615 COMMODITY CIR STE 17
ORLANDO FL
32819-9072
US

V. Phone/Fax

Practice location:
  • Phone: 407-707-1814
  • Fax: 386-401-1898
Mailing address:
  • Phone: 407-707-1814
  • Fax: 386-401-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11041376
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: