Individual provider · Type 1 NPI
Jennifer Lynn Lopez, APRN
Nurse Practitioner · St. Augustine, FL
Practice location
811 State Road 206 E Ste 3
St. Augustine, FL 32086-4869
Fax (904) 824-6243
Mailing address
PO Box 3123
St. Augustine, FL 32085-3123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11035987 (FL) |
| Family Medicine Physician | 207Q00000X | APRN11035987 (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 1750103362
Jennifer Lynn Lopez, APRN's National Provider Identifier is 1750103362, issued on Oct 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 22, 2026.