JENNIFER BANUELOS


Address: 6425 Pensacola Blvd, Suite 1-3, Pensacola, FL 32505-1701
Phone: 8504710017

JENNIFER BANUELOS (NPI# 1104359215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104359215
Entity Type Individual
Full Name JENNIFER BANUELOS
Credential ARNP
Practice Address 6425 Pensacola Blvd
Suite 1-3
Pensacola
FL 32505-1701
Mailing Address 459 Grace Ave
Panama City
FL 32401-2756
Practice Telephone 8504710017
Mailing Telephone 8502156007
Mailing Fax Number 8502156009
Enumeration Date 2017-04-05
Last Update Date 2017-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9227695 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6425 PENSACOLA BLVD
SUITE 1-3
City PENSACOLA
State FL
Zip Code 32505-1701

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1821497744 Tonya Anderson Nurse Practitioner 6425 Pensacola Blvd, Pensacola, FL 32505-1701 2014-08-15
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780111849 Nicole Mosley Nurse Practitioner 101 S Jefferson St Apt C, Pensacola, FL 32502-5666 2017-05-18
1154620185 Scott Aaron Durrance Nurse Practitioner 308 S Jefferson St, Pensacola, FL 32502-5969 2011-03-16
1184797458 Debra Axley Nurse Practitioner 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 2006-11-16
1730796616 Emily M Powell Nurse Practitioner 308 S Jefferson St, Pensacola, FL 32502-5969 2020-09-25
1639718455 Danielle Pugh Nurse Practitioner 1221 W Lakeview Ave, Pensacola, FL 32501-1836 2019-12-26
1457992968 Ashley Nicole Wei Nurse Practitioner 1221 W Lakeview Ave, Pensacola, FL 32501-1836 2019-10-06
1447713581 Afua Ntiwa Nurse Practitioner 1221 W Lakeview Ave, Pensacola, FL 32501-1836 2019-04-06
1669939724 Brandy Mihaly Nurse Practitioner 1221 W Lakeview Ave, Pensacola, FL 32501-1857 2019-02-25
1285198598 Crystal Nichole Jones-lindsey Nurse Practitioner 1221 W Lakeview Ave, Pensacola, FL 32501-1836 2019-01-31
1477056943 Marcia M Binion Nurse Practitioner 1221 W Lakeview Ave, Pensacola, FL 32501 2018-03-12
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Competitor

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City PENSACOLA
Zip Code 32505

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Dataset Information

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.

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