Organization · Type 2 NPI

Jennewein, Np-C, LLC

Family Nurse Practitioner · Freeport, FL

NPI number 1497160360 Active

Practice location

40 Washington Street
Freeport, FL 32439

Mailing address

722 Rodney Ave
Fort Walton Beach, FL 32547

Specialties and licenses

TaxonomyCodeLicense
Health Maintenance Organization 302R00000X9233360 (FL)
Family Nurse Practitioner Primary 363LF0000X9233360 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1497160360

Jennewein, Np-C, LLC's National Provider Identifier is 1497160360, issued on Jun 30, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Freeport, FL. The record was last updated on Jun 30, 2014.