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NPI Code Detail

MEDICARE: JENNIFER SHEU NURSE PRACTIONER

MEDICARE: JENNIFER SHEU NURSE PRACTIONER
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
1174400000XSpecialist9221932FL

General Provider Information

NPI Number : 1730139452
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SHEU NURSE PRACTIONER
Provider Business Mailing Address
First Line : 11201 CAMPFIELD CIR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3905
Country : US
Telephone Number : 626-675-4555
Fax Number :
Provider Business Practice Location Address
First Line : 5150 BELFORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6026
Country : US
Telephone Number : 904-296-0900
Fax Number : 904-296-7597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

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Directions to “ JENNIFER SHEU NURSE PRACTIONER” Practice Location

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