Provider Demographics
NPI:1750876496
Name:NAVARRO, JENNIFER PATTON (PMHNP-BC, FNP-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:PATTON
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14327 92ND TER
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-1957
Mailing Address - Country:US
Mailing Address - Phone:423-284-9924
Mailing Address - Fax:
Practice Address - Street 1:8839 BRYAN DAIRY RD STE 310
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1207
Practice Address - Country:US
Practice Address - Phone:727-610-2064
Practice Address - Fax:727-610-2065
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9371983363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily