Individual
MRS. JENNIFER RENEE OTTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2349 VILLAGE SQUARE PKWY STE 107, FLEMING ISLAND, FL 32003-4319
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11033150
FL
363LF0000X
Family Nurse Practitioner
APRN11033150
FL
Other
Enumeration date
10/08/2012
Last updated
08/30/2024
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