Healthcare Provider Details

I. General information

NPI: 1487027660
Provider Name (Legal Business Name): JENNIFER LEONARD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2015
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S ORLANDO AVE
WINTER PARK FL
32789-5500
US

IV. Provider business mailing address

1500 S ORLANDO AVE
WINTER PARK FL
32789-5500
US

V. Phone/Fax

Practice location:
  • Phone: 407-740-0909
  • Fax:
Mailing address:
  • Phone: 407-740-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9298486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: