Provider Demographics
NPI:1790167930
Name:VARNER, JEANA (ARNP)
Entity Type:Individual
Prefix:
First Name:JEANA
Middle Name:
Last Name:VARNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JEANA
Other - Middle Name:
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:11000 UNIVERSITY PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5750
Mailing Address - Country:US
Mailing Address - Phone:850-474-2172
Mailing Address - Fax:
Practice Address - Street 1:11000 UNIVERSITY PKWY STE 106
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5750
Practice Address - Country:US
Practice Address - Phone:850-474-2172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9257639363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner