Mrs Jennifer Sue Gravell Mendoza, ARNP - Nurse Practitioner in Eustis, FL

Mrs Jennifer Sue Gravell Mendoza, ARNP is a Nurse Practitioner - Family based in Eustis, Florida. Mrs Jennifer Sue Gravell Mendoza is licensed to practice in Florida (license number ARNP-9238808) and her current practice location is 2000 Prevatt St, Suite B3, Eustis, Florida. She can be reached at her office (for appointments etc.) via phone at (321) 273-0301.

NPI number for Mrs Jennifer Sue Gravell Mendoza is 1780801159 and her current mailing address is 1405 Jecenia Blossom Dr, Apopka, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780801159.

Contact Information

Mrs Jennifer Sue Gravell Mendoza, ARNP
2000 Prevatt St, Suite B3,
Eustis, FL 32726-6149
(321) 273-0301
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jennifer Sue Gravell Mendoza
GenderFemale
SpecialityNurse Practitioner - Family
Location2000 Prevatt St, Eustis, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780801159
  • Provider Enumeration Date: 04/19/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jennifer Sue Gravell Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780801159NPI-NPPES
ARNP-9238808OtherFLNURSE PRACTITINER LICENSE
2005010729OtherANCC FNP BD CERT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP-9238808 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Sue Gravell Mendoza is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Sue Gravell Mendoza, ARNP
1405 Jecenia Blossom Dr,
Apopka, FL 32712-4437

Ph: () -
Mrs Jennifer Sue Gravell Mendoza, ARNP
2000 Prevatt St, Suite B3,
Eustis, FL 32726-6149

Ph: (321) 273-0301

Reviews and Comments


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