MEDICARE: STEPHANIE J SKIPPER ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP3329742	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ARNP3329742	OTHER	FL	MEDICAL LICENSE NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124101266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE J SKIPPER ARNP

Provider Business Mailing Address
First Line	:	1707 N MILLS AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1851
Country	:	US
Telephone Number	:	407-647-3960
Fax Number	:	407-413-5775

Provider Business Practice Location Address
First Line	:	1707 N MILLS AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1851
Country	:	US
Telephone Number	:	407-647-3960
Fax Number	:	407-367-0856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	05/08/2024

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