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

Jenna Marie Vandewater

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558983429

Jenna Marie Vandewater is a Student in an Organized Health Care Education/Training Program in Sunrise, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Sunrise, FL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1 Kneeland St, Boston, MA 02111-1529 — (617) 636-6828

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 25241 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558983429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

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