MEDICARE: MS. JENNIFER LYNNE PARKINSON

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	174H00000X	Health Educator		FL

General Provider Information

NPI Number	:	1407783624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LYNNE PARKINSON

Provider Business Mailing Address
First Line	:	2328 HANCOCK BRIDGE PKWY UNIT 114D
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1459
Country	:	US
Telephone Number	:	239-464-9934
Fax Number	:	239-464-9934

Provider Business Practice Location Address
First Line	:	2328 HANCOCK BRIDGE PKWY UNIT 114D
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1459
Country	:	US
Telephone Number	:	239-464-9934
Fax Number	:	239-464-9934

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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