MS. JENNIFER L LISKA CONNER APRN NPI 1336284660

NPI Information

NPI: 1336284660
Provider Name: MS. JENNIFER L LISKA CONNER, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1507 S HIAWASSEE RD STE 107
ORLANDO, FL
ZIP 32835
Phone: (407) 445-9545
Get Directions

MS. Jennifer L Liska Conner, APRN is a gerontology nurse practitioner in Orlando, FL with 22 years of experience. MS. Jennifer L Liska Conner, APRN NPI is 1336284660. 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:

1507 S HIAWASSEE RD STE 107
ORLANDO, FL
ZIP 32835-706
Phone: (407) 445-9545
Fax: (407) 445-9545

The NPI 1336284660 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 2/21/2007 and was last updated on 11/18/2019.

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
1	363LG0600X	Nurse Practitioner	Gerontology	11002903	FLORIDA	Yes
2	163WG0600X	Registered Nurse	Gerontology	2279	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41252100	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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