Individual provider · Type 1 NPI

Jennifer Lynn Shah, AG-ACNP

Acute Care Nurse Practitioner · Orlando, FL

NPI number 1104349679 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Call (407) 303-7283 Map

Fax (407) 303-0347

Mailing address

2501 N Orange Ave Ste 401
Orlando, FL 32804-4644

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X364129 (OH)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN11002906 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104349679

Jennifer Lynn Shah, AG-ACNP's National Provider Identifier is 1104349679, issued on Jul 17, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Orlando, FL. The record was last updated on Apr 20, 2023.