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Jennifer Lynn Waicus
Family Nurse Practitioner in Melbourne, Florida
NPI 1417585316

Jennifer Lynn Waicus is a Family Nurse Practitioner based in Edgewater, FL and is specialized in Family. Jennifer Lynn Waicus practices in Melbourne, FL. The NPI Number for Jennifer Lynn Waicus is 1417585316 and holds a License No. APRN11006496 (Florida).

The current practice location address for Jennifer Lynn Waicus is 2755 N Wickham Rd Ste 102, Melbourne, FL and can be reached out via phone at 855-200-7595.

Location: 2755 N Wickham Rd Ste 102, Melbourne, FL, 32141-6216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417585316
Provider Name
Jennifer Lynn Waicus
Credential
Provider Entity Type
Individual
Gender
Female
Address
2755 N Wickham Rd Ste 102, Melbourne, FL, 32141-6216
Phone Number
855-200-7595
Fax Number
Provider Enumeration Date
03/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2755 N Wickham Rd Ste 102
City
Melbourne
State
Florida
Zip
32935-2226
Phone Number
855-200-7595
Fax Number
person
Provider Business Mailing Address Details
Address
2755 N Wickham Rd Ste 102
City
Melbourne
State
Florida
Zip
32935-2226
Phone Number
855-200-7595
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11006496 (Florida)
Definition
Definition to come...
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