Provider Demographics
NPI:1851330211
Name:NAYLOR, JENNIFER L (APRN)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:PIERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 5292
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32627-5292
Mailing Address - Country:US
Mailing Address - Phone:352-871-4430
Mailing Address - Fax:904-352-4210
Practice Address - Street 1:165 SW VISION GLN
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-1111
Practice Address - Country:US
Practice Address - Phone:386-755-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9170389363LN0000X
FLAPRN9170389363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305312100Medicaid
GA003149500AMedicaid
FLED366YMedicare PIN
FL305312100Medicaid