Jennifer Lane

NPI #1790149391 in Hudson, Florida

Provider Information

NPI Number: 1790149391
Entity Type: Individual
Name: Jennifer Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Apr 9, 2016
Last Updated: Apr 9, 2016

Practice Location

Address: 7529 MEDICAL DR
City: Hudson
State: Florida
ZIP Code: 34667-6502
Phone: (727) 862-6524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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