MEDICARE: JENNIFER LYNN RAMOS 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	ARNP9305438	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	HY187Z	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BCBS	OTHER	FL	Y0NE2
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659772747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN RAMOS APRN

Provider Business Mailing Address
First Line	:	3451 PINE RIDGE RD BLDG 601
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-3922
Country	:	US
Telephone Number	:	239-449-3072
Fax Number	:	877-334-1886

Provider Business Practice Location Address
First Line	:	130 TAMIAMI TRL N STE 220
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-6233
Country	:	US
Telephone Number	:	239-624-1700
Fax Number	:	239-434-8605

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

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	08/06/2024

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Directions to “ JENNIFER LYNN RAMOS APRN” Practice Location

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