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NPI Code Detail

MEDICARE: JENNIFER NICOLE LLEWELLYN

MEDICARE: JENNIFER NICOLE LLEWELLYN
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 PractitionerAPRN11040391FL

General Provider Information

NPI Number : 1376491175
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NICOLE LLEWELLYN
Provider Business Mailing Address
First Line : 1204 E CUMBERLAND AVE UNIT 103
Second Line :
City : TAMPA
State : FL
Zip : 33602-4224
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1204 E CUMBERLAND AVE UNIT 103
Second Line :
City : TAMPA
State : FL
Zip : 33602-4224
Country : US
Telephone Number : 321-263-7206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ JENNIFER NICOLE LLEWELLYN ” Practice Location

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