MEDICARE: JENNIFER NADEAU APRN

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	363LP2300X	Primary Care Nurse Practitioner	APRN11004208	FL
2	363LG0600X	Gerontology Nurse Practitioner	APRN11004208	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

General Provider Information

NPI Number	:	1346891777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER NADEAU APRN

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	727-322-3439
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 NE 25TH AVE STE 301
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5667
Country	:	US
Telephone Number	:	352-351-7000
Fax Number	:

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

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	06/17/2026

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