Provider Demographics
NPI:1497749519
Name:MCNEIL, JEFFERY JEROME (FNP-C)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:JEROME
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1884 DOUGLAS LN
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32163-5208
Mailing Address - Country:US
Mailing Address - Phone:352-298-3107
Mailing Address - Fax:352-626-5019
Practice Address - Street 1:1884 DOUGLAS LN
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32163-5208
Practice Address - Country:US
Practice Address - Phone:352-298-3107
Practice Address - Fax:352-626-5019
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201158363LF0000X
FLAPRN11000796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000966Medicaid
NCP31227Medicare UPIN