Healthcare Provider Details

I. General information

NPI: 1124834122
Provider Name (Legal Business Name): JENNIFER LOWENWIRT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 VISTA PKWY
WEST PALM BEACH FL
33411-2719
US

IV. Provider business mailing address

2085 VISTA PKWY
WEST PALM BEACH FL
33411-2719
US

V. Phone/Fax

Practice location:
  • Phone: 718-704-4624
  • Fax:
Mailing address:
  • Phone: 718-704-4624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number11047568
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN9560886
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: