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NPI Code Detail

MEDICARE: JENNI CLARK FLOYD RN, FNP-C

MEDICARE: JENNI CLARK FLOYD RN, FNP-C
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 Practitioner5007183NC

General Provider Information

NPI Number : 1427450519
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNI CLARK FLOYD RN, FNP-C
Provider Business Mailing Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number :
Provider Business Practice Location Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2014
Last Update Date : 03/06/2026

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