Provider Demographics
NPI:1851330211
Name:NAYLOR, JENNIFER L (APRN)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:NAYLOR
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:PIERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:982 STARLING CT
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99712-1452
Mailing Address - Country:US
Mailing Address - Phone:352-871-4430
Mailing Address - Fax:
Practice Address - Street 1:330 OLD STEESE HWY
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3126
Practice Address - Country:US
Practice Address - Phone:907-370-9353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK170084163W00000X
FL9170389163W00000X
FLAPRN9170389363LP0808X
AK192145363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305312100Medicaid
GA003149500AMedicaid
FLED366YMedicare PIN
FL305312100Medicaid