MEDICARE: VANESSA JENNINGS 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	363L00000X	Nurse Practitioner	11039542	FL
2	363LW0102X	Women's Health Nurse Practitioner	11039542	FL

General Provider Information

NPI Number	:	1528996295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA JENNINGS APRN

Provider Business Mailing Address
First Line	:	677 OLEAN CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 OLEAN CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5621
Country	:	US
Telephone Number	:	863-202-6693
Fax Number	:

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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