IndividualActive
Jennifer Poucher
NPI 1255084976 · Family Nurse Practitioner · Madison, FL
Provider details
- NPI number
- 1255084976
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11017863 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
289 Sw Range Ave Ste C
Madison, FL 32340-2351
Phone: (850) 973-2252
Fax: (855) 531-6313
Approximate (ZIP-level) locationGet directions
Mailing address
3966 72nd St
Live Oak, FL 32060-7406
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2022-02-02
- Certified
- 2022-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.