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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNN SEEGOTT DNP, APRN-IP

MEDICARE:  MRS. JENNIFER LYNN SEEGOTT  DNP, APRN-IP
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
1363LA2200XAdult Health Nurse PractitionerAPRN11003625FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124677331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNN SEEGOTT DNP, APRN-IP
Provider Business Mailing Address
First Line : 1165 SW 27TH ST
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2907
Country : US
Telephone Number : 772-255-6565
Fax Number : 772-273-2096
Provider Business Practice Location Address
First Line : 1165 SW 27TH ST
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2907
Country : US
Telephone Number : 772-255-6565
Fax Number : 772-273-2096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 02/07/2025

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