Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Lynn Lopez, APRN

Individual provider Nurse Practitioner · NPI 1750103362

Jennifer Lynn Lopez, APRN is a Nurse Practitioner in St Augustine, Florida. Qualified in 2024, 2 years ago. Practices with St Augustine Primary Care P L, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

811 State Road 206 E Ste 3
St Augustine, FL 32086-4869
Phone: (904) 342-2989
Fax: (904) 824-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11035987 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN11035987 (FL)

Record details

NPI number1750103362
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 26, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Augustine Primary Care P L — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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