Individual provider · Type 1 NPI

Jennifer Fowlkes, CRNP, FNP-C

Family Nurse Practitioner · Orange Park, FL

NPI number 1992109896 Active

Practice location

2140 Kingsley Ave Ste 15
Orange Park, FL 32073-5129

Mailing address

33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413

Other practice locations

  • 485 Ritchie Hwy, Severna Park, MD 21146-2918 · (410) 255-7900
  • 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 · (410) 910-6700
  • 33 Magothy Beach Rd Ste 102-103, Pasadena, MD 21122 · (410) 255-7900

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR177755 (MD)
Family Nurse Practitioner Primary 363LF0000XR177755 (MD)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1992109896

Jennifer Fowlkes, CRNP, FNP-C's National Provider Identifier is 1992109896, issued on Oct 21, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange Park, FL. The record was last updated on Sep 15, 2021.