Provider Demographics
NPI:1811291958
Name:BLATTNER, JENNIFER BETH (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:BETH
Last Name:BLATTNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:BETH
Other - Last Name:AUGARTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:70 W GORE ST
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1124
Mailing Address - Country:US
Mailing Address - Phone:407-581-2888
Mailing Address - Fax:
Practice Address - Street 1:70 W GORE ST
Practice Address - Street 2:SUITE 200A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1124
Practice Address - Country:US
Practice Address - Phone:407-581-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9264145363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner