MRS. JENNIFER EILEEN KONOWITZ


Address: 143 Caledonia Dr, Melbourne Bch, FL 32951
Phone: 3217330221

MRS. JENNIFER EILEEN KONOWITZ (NPI# 1265797328) 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) 1265797328
Entity Type Individual
Full Name MRS. JENNIFER EILEEN KONOWITZ
Credential ARNP
Practice Address 143 Caledonia Dr
Melbourne Bch
FL 32951
Mailing Address 143 Caledonia Dr
Melbourne Beach
FL 32951-3902
Practice Telephone 3217330221
Mailing Telephone 3217330221
Enumeration Date 2012-07-05
Last Update Date 2012-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN9283757 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 143 CALEDONIA DR
City MELBOURNE BCH
State FL
Zip Code 32951

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1588935308 Joseph E Bonar Physical Therapist 300 Shannon Ave, Melbourne Beach, FL 32951-2150 2012-01-25
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1124276902 Meghan N Killingsworth Developmental Therapist 901 Atlantic St, Melbourne Beach, FL 32951-2210 2008-09-04
1952842742 David Charles Randall Physical Therapist 527 Avenue B, Melbourne Beach, FL 32951-2216 2017-03-14
1760814388 Thomas Vincent Gale Counselor 1100 Atlantic St, Melbourne Beach, FL 32951-2308 2013-08-06
1962564906 John James Magri Iv General Practice 1207 Atlantic St, Melbourne Beach, FL 32951-2309 2006-12-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City MELBOURNE BCH
Zip Code 32951

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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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