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Organization
JENNEWEIN, NP-C, LLC
Active
Organization
JENNEWEIN, NP-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRI JENNEWEIN ARNP, NP-C (FAMILY NURSE PRACTITIONER)
(850) 240-9023
Entity
Organization
Contact information
Practice address
40 WASHINGTON STREET, FREEPORT, FL 32439
(850) 240-9023
Mailing address
722 RODNEY AVE, FORT WALTON BEACH, FL 32547
(850) 240-9023
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
9233360
FL
363LF0000X
Family Nurse Practitioner
Primary
9233360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003390100
—
FL
Enumeration date
06/30/2014
Last updated
06/30/2014
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