Jenifer B. Stover, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9102766 Issued in FL

Practice address

368 NE Franklin St
Lake City, FL 32055-3088

Phone

(386) 754-8000

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Florida Emergency Group LLC

  • Emergency Medicine Physician
  • Coral Gables, FL
  • NPI 1073789632
  NPD (past)
• Greater Florida Emergency Group LLC

  • Emergency Medicine Physician
  • West Palm Beach, FL
  • NPI 1346430626
  NPD (past)
• Ipn Emergency Physicians of North Florida PA

  • Emergency Medicine Physician
  • Starke, FL
  • NPI 1619287158
  NPD (past)
• Jupiter Urgent Care, Inc

  • Clinic/Center
  • Jupiter, FL
  • NPI 1518067768
  NPD (past)
• North Florida Emergency Physicians

  • Emergency Medicine Physician
  • Lake City, FL
  • NPI 1538251186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1881887172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5439",
            "fax_number": "770-874-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 NE FRANKLIN ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553088",
            "telephone_number": "386-754-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "JENIFER",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9102766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Stewart
• Still Waters of Lake City, Inc.
• Johanna Lynn Stith, APRN
• Madden Elizabeth Stockstill, PHARMD
• Ezra L Stone, LCSW
• Kimberly Stratton, LMHC
• Guy S Strauss, D.O.
• Lisa I Strickland
• Matthew Strods, PHARM.D.
• Shelley A Stroud

• Medical Physician Assistant in Lake City, FL
• Providers in Lake City, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.