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NPI Code Detail

MEDICARE: JENNIFER HARPER ARNP

MEDICARE: JENNIFER HARPER 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
1363LF0000XFamily Nurse PractitionerARNP9298684FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2L1255OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PZXHROTHERFLBCBS

General Provider Information

NPI Number : 1689111304
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HARPER ARNP
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 1250 S 18TH ST STE 202
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-4729
Country : US
Telephone Number : 904-277-4690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2017
Last Update Date : 08/25/2020

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