Provider Demographics
NPI:1699848242
Name:ZYLIS, JENNIFER JEAN (ARNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JEAN
Last Name:ZYLIS
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 773176
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-3176
Mailing Address - Country:US
Mailing Address - Phone:352-873-3800
Mailing Address - Fax:352-873-4800
Practice Address - Street 1:4460 SW 20TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0163
Practice Address - Country:US
Practice Address - Phone:352-854-8200
Practice Address - Fax:352-854-9730
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL ARNP 3064662363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308016100Medicaid
FLQ74694Medicare UPIN
FLAA384YMedicare PIN