Individual
JENNIFER ANNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9182074
FL
363LF0000X
Family Nurse Practitioner
1151422
TX
363LF0000X
Family Nurse Practitioner
3-001735
AL
363LF0000X
Family Nurse Practitioner
APRN.CNP.0038306
OH
363LF0000X
Family Nurse Practitioner
ARNP9182074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001007600
—
FL
01
—
Y00F7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/24/2007
Last updated
12/16/2024
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