MEDICARE: MISS JENNIFER ANNE MORRELL 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	APRN3220122	FL
2	363LA2100X	Acute Care Nurse Practitioner	APRN3220122	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN3220122	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	N3200	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649220419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER ANNE MORRELL APRN

Provider Business Mailing Address
First Line	:	12987 WINTHROP COVE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-7507
Country	:	US
Telephone Number	:	904-234-3484
Fax Number	:

Provider Business Practice Location Address
First Line	:	12987 WINTHROP COVE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-7507
Country	:	US
Telephone Number	:	904-234-3484
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	01/13/2026

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Directions to “ MISS JENNIFER ANNE MORRELL APRN” Practice Location

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