MEDICARE: JENNA MINNI ARNP, FNP-BC

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	163W00000X	Registered Nurse	RN9407892	FL
2	363LP2300X	Primary Care Nurse Practitioner	ARNP9407892	FL

General Provider Information

NPI Number	:	1134582711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA MINNI ARNP, FNP-BC

Provider Business Mailing Address
First Line	:	3384 W COMMUNITY DR
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-8239
Country	:	US
Telephone Number	:	772-380-3297
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 MILITARY TRL STE 200
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458
Country	:	US
Telephone Number	:	561-746-2110
Fax Number	:

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

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	12/07/2021

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