MRS. JENNIFER RENEE OTTERBACH FNP-BC NPI 1871845313

NPI Information

  • NPI: 1871845313
  • Provider Name: MRS. JENNIFER RENEE OTTERBACH, FNP-BC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2349 VILLAGE SQUARE PKWY STE 107
    FLEMING ISLAND, FL
    ZIP 32003
  • Phone: (904) 223-3321

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NPI Details

MRS. Jennifer Renee Otterbach, FNP-BC is a nurse practitioner in Fleming Island, FL with 1 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MRS. Jennifer Renee Otterbach, FNP-BC NPI is 1871845313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2349 VILLAGE SQUARE PKWY STE 107
FLEMING ISLAND, FL
ZIP 32003-319
Phone: (904) 223-3321
Fax: (904) 223-2169

The NPI 1871845313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 8/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN11033150FLORIDANo
2363L00000XNurse PractitionerAPRN11033150FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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