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NPI Code Detail

MEDICARE: MS. JACQUELINE ANN REDLIN MS, ARNP

MEDICARE: MS. JACQUELINE ANN REDLIN MS, ARNP
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 PractitionerARNP3383012FL
2363LA2200XAdult Health Nurse PractitionerARNP3383012FL

General Provider Information

NPI Number : 1609826882
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JACQUELINE ANN REDLIN MS, ARNP
Provider Business Mailing Address
First Line : 3014 WEDGE CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-2484
Country : US
Telephone Number : 407-681-2023
Fax Number :
Provider Business Practice Location Address
First Line : 726 S TAMPA AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32805-3646
Country : US
Telephone Number : 407-246-1788
Fax Number : 407-246-8466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 09/11/2025

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