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NPI Code Detail

MEDICARE: JENNIFER LEE ERPENBECK NP

MEDICARE: JENNIFER LEE ERPENBECK NP
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
1363LF0000XFamily Nurse PractitionerAPRN11039878FL
2363LF0000XFamily Nurse Practitioner12755OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255618740
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEE ERPENBECK NP
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-0762
Fax Number : 239-343-0958
Provider Business Practice Location Address
First Line : 13601 PLANTATION RD STE 3
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4437
Country : US
Telephone Number : 239-343-0762
Fax Number : 239-343-0958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2011
Last Update Date : 07/10/2025

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