DR. JILLIAN AUDREYA FAWN STUPER (NPI# 1043718521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043718521 |
| Entity Type | Individual |
| Full Name | DR. JILLIAN AUDREYA FAWN STUPER |
| Other Name | MS. JILLIAN AUDREYA FAWN STRAHAN |
| Credential | DNP, MSN, FNP-BC |
| Practice Address |
21705 Bowman Rd Spring Hill FL 34610 |
| Mailing Address |
14405 Birch St Hudson FL 34667-1172 |
| Practice Telephone | 7273644393 |
| Mailing Telephone | 7273644393 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9344892 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21705 Bowman Rd, Spring Hill, FL 346102313 | 7273644393 |
| Street Address |
21705 BOWMAN RD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196040 | Lisa Velez | Technician | 18525 Coats St, Spring Hill, FL 34610 | 2018-12-17 |
| 1053498568 | The Center for Independence Inc | Assisted Living Facility | 15750 Little Ranch Rd, Spring Hill, FL 34610 | 2006-11-01 |
| 1487941514 | Peter Joseph Poston | Massage Therapist | 14742 Spellman Ct, Spring Hill, FL 34610-1035 | 2011-07-11 |
| 1437707908 | Linda Lou Caputo | Technician | 14411 Aubrey Ave, Spring Hill, FL 34610-1044 | 2019-08-28 |
| 1790069680 | Debra K. Mottola | Pharmacist | 16200 County Line Rd, Spring Hill, FL 34610-1351 | 2011-10-10 |
| 1760753354 | Jose R. Cruz II | Pharmacist | 16200 County Line Rd, Spring Hill, FL 34610-1351 | 2012-01-13 |
| 1578847513 | Cynthia A Thompson | Pharmacist | 16200 County Line Rd, Spring Hill, FL 34610-1351 | 2011-10-10 |
| 1962037994 | Johanna Goodman | Behavior Technician | 18325 Skinner Dr, Spring Hill, FL 34610-2175 | 2020-03-10 |
| 1679701338 | Dr Louis Laporta LLC | Psychologist | 18920 Us Highway 41, Spring Hill, FL 34610-2244 | 2009-07-01 |
| 1730688243 | Stefani Laporta | Massage Therapist | 18920 Us Highway 41, Spring Hill, FL 34610-2244 | 2018-02-10 |
| Find all providers in zip 34610 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473958 | Tamara L Walker | Nurse Practitioner | 12084 Rockford St, Spring Hill, FL 34608-2153 | 2020-10-08 |
| 1942858840 | Marci Montague | Nurse Practitioner | 4304 Canongate Ct, Spring Hill, FL 34609-0498 | 2019-09-04 |
| 1861052953 | Kristin N Esenwein | Nurse Practitioner | 11298 Orangewood Ct, Spring Hill, FL 34609-9138 | 2019-06-19 |
| 1821584327 | Barbara Jean Giles | Nurse Practitioner | 11357 Silverwood Ct, Spring Hill, FL 34609-9154 | 2018-07-08 |
| 1023568748 | Michelle Annette Perez | Nurse Practitioner | 6475 Sugar Tree Dr, Spring Hill, FL 34607-2517 | 2016-10-05 |
| 1700339181 | Enera Kupi | Nurse Practitioner | 11901 Linden Dr, Spring Hill, FL 34608-4946 | 2016-08-02 |
| 1629421623 | Justin Timothy Reed | Nurse Practitioner | 3001 Reserve Blvd Ste 200, Spring Hill, TN 37174-3101 | 2016-07-14 |
| 1578917225 | Masako Tidrow | Nurse Practitioner | 109 Dakota Dr, Spring Hill, TN 37174-6195 | 2016-04-19 |
| 1467806638 | Brenda Sanchez | Nurse Practitioner | 3098 Campbell Station Pkwy # A-201, Spring Hill, TN 37174-6270 | 2016-04-14 |
| 1235596628 | Laura Murff | Nurse Practitioner | 19230 Flint St, Spring Hill, KS 66083-7520 | 2016-01-15 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34610 |
Please comment or provide details below to improve the information on DR. JILLIAN AUDREYA FAWN STUPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.