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NPI Code Detail

MEDICARE: ARIEL LANICE JAKES FNP

MEDICARE: ARIEL LANICE JAKES FNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11009257FL
2363LF0000XFamily Nurse PractitionerAPRN11009257FL

Other Identifiers

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

General Provider Information

NPI Number : 1790142974
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL LANICE JAKES FNP
Provider Business Mailing Address
First Line : PO BOX 2650
Second Line :
City : PINE BLUFF
State : AR
Zip : 71613-2650
Country : US
Telephone Number : 870-541-7235
Fax Number : 870-541-4297
Provider Business Practice Location Address
First Line : 13800 VETERANS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7401
Country : US
Telephone Number : 407-631-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2016
Last Update Date : 05/27/2026

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