MS. LORI ANN JESBERGER


Address: 800 E Broward Blvd Ste 400, Fort Lauderdale, FL 33301-2033
Phone: 4196684851

MS. LORI ANN JESBERGER (NPI# 1396000147) 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) 1396000147
Entity Type Individual
Full Name MS. LORI ANN JESBERGER
Credential NP-C
Practice Address 800 E Broward Blvd Ste 400
Fort Lauderdale
FL 33301-2033
Mailing Address 815 Buckeye Ln
Sandusky
OH 44870-7348
Practice Telephone 4196684851
Practice Fax Number 4196635146
Mailing Telephone 4193661577
Enumeration Date 2012-07-09
Last Update Date 2019-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
RN.311775-COA1 OH Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
COA.13454-NP OH Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APRN11000966 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 800 E BROWARD BLVD STE 400
City FORT LAUDERDALE
State FL
Zip Code 33301-2033

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City FORT LAUDERDALE
Zip Code 33301

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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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