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NPI Code Detail

MEDICARE: JEANNETTE F LEVY A.P.R.N.

MEDICARE:   JEANNETTE F LEVY  A.P.R.N.
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
1363L00000XNurse Practitioner110183NE

General Provider Information

NPI Number : 1558452664
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNETTE F LEVY A.P.R.N.
Provider Business Mailing Address
First Line : 13121 66TH ST
Second Line :
City : LARGO
State : FL
Zip : 33773-1812
Country : US
Telephone Number : 727-530-0920
Fax Number : 727-535-7698
Provider Business Practice Location Address
First Line : 13121 66TH ST
Second Line :
City : LARGO
State : FL
Zip : 33773-1812
Country : US
Telephone Number : 727-530-0920
Fax Number : 727-535-7698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 11/11/2010

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Directions to “ JEANNETTE F LEVY A.P.R.N.” Practice Location

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