Individual provider · Type 1 NPI

Jennifer Demaisip Traverso, APRN

Nurse Practitioner · Port Orange, FL

NPI number 1699294496 Active

Practice location

735 Dunlawton Ave
Port Orange, FL 32127-9226

Call (888) 808-0488 Map

Fax (386) 872-4232

Mailing address

4667 Hidden Lake Dr
Port Orange, FL 32129-4086

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	3416832 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699294496

Jennifer Demaisip Traverso, APRN's National Provider Identifier is 1699294496, issued on Sep 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Orange, FL. The record was last updated on Oct 15, 2024.