=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205794591
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JENTEN CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2026
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9838 OLD BAYMEADOWS RD # 388
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32256-8101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-200-2244
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5989 COUNTY ROAD 209 S
-----------------------------------------------------
City | GREEN COVE SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32043-8116
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-200-2244
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE OWNER
-----------------------------------------------------
Name | JENEA MARIE TENER
-----------------------------------------------------
Credential | ARNP
-----------------------------------------------------
Telephone | 904-200-2244
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------