Jennifer Sue Gravell Mendoza in Eustis - Family
Jennifer Sue Gravell Mendoza - NPI 1780801159
Jennifer Sue Gravell Mendoza is a Family in Eustis, Florida. Jennifer Sue Gravell Mendoza practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Sue Gravell Mendoza is 1780801159. The last update date is 2007-07-08.
Jennifer Sue Gravell Mendoza's current location address is 2000 Prevatt St, Eustis, Florida. You can contact this provider via phone number 3212730301. The mailing address for Jennifer Sue Gravell Mendoza is 2000 Prevatt St, Eustis, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Sue Gravell Mendoza |
|---|---|
| Address | 2000 Prevatt St, Eustis, Florida |
| Phone Number | 3212730301 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1780801159 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2000 Prevatt St |
|---|---|
| City | Eustis |
| State | Florida (FL) |
| Post Code | 327266149 |
| Phone Number | 3212730301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP-9238808 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ARNP-9238808 | FL | NURSE PRACTITINER LICENSE | |
| 2005010729 | ANCC FNP BD CERT |
Post Comment/ Review Below
What is the Jennifer Sue Gravell Mendoza's 1780801159?
The Jennifer Sue Gravell Mendoza's NPI (National Provider Identifier) Number is 1780801159. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer Sue Gravell Mendoza is physically located?
The Jennifer Sue Gravell Mendoza is physically situated at the following address: 2000 Prevatt St, Eustis, FL, 327266149.
What is the Jennifer Sue Gravell Mendoza's area of specialization and corresponding taxonomy classification?
The Jennifer Sue Gravell Mendoza's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Jennifer Sue Gravell Mendoza receive the assignment of its 1780801159 from the Centers for Medicare & Medicaid Services?
The Jennifer Sue Gravell Mendoza was issued its 1780801159 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information regarding Jennifer Sue Gravell Mendoza, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Sue Gravell Mendoza, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC