Individual
MS. JENNIFER L STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S MCCALL RD STE C, ENGLEWOOD, FL 34224-5136
(941) 474-9314
(941) 473-9813
Mailing address
3434 HANCOCK BRIDGE PKWY STE 301, NORTH FORT MYERS, FL 33903-7099
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704193128
MI
363L00000X
Nurse Practitioner
Primary
ARNP9437042
FL
363LG0600X
Gerontology Nurse Practitioner
4704193128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9WIU1
BCBS
FL
Enumeration date
08/16/2011
Last updated
01/24/2018
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