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

Mrs. Jennifer Renee Otterbach, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1871845313

Mrs. Jennifer Renee Otterbach, FNP-BC is a Nurse Practitioner in Fleming Island, Florida. Qualified in 2024, 2 years ago. Practices with Jacksonville Spine Center PA, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2349 Village Square Pkwy Ste 107
Fleming Island, FL 32003-4319
Phone: (904) 223-3321
Fax: (904) 223-2169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14534 Old Saint Augustine Rd Ste 3210, Jacksonville, FL 32258-2645 — (904) 880-1260

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11033150 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11033150 (FL)

Record details

NPI number1871845313
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 8, 2012
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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 Jacksonville Spine Center Pa — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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