Provider Demographics
NPI:1841432283
Name:JUERGENSMEYER, CHERITY RAREY (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERITY
Middle Name:RAREY
Last Name:JUERGENSMEYER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 ANTILLES LN
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4506
Mailing Address - Country:US
Mailing Address - Phone:352-678-5246
Mailing Address - Fax:352-688-1003
Practice Address - Street 1:1221 ANTILLES LN
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4506
Practice Address - Country:US
Practice Address - Phone:352-678-5246
Practice Address - Fax:352-835-7900
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP26307022080A0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003927800Medicaid