Individual provider · NPI-1

Dr. Jacob Allen Flatten, AGAC-DNP

Nurse Practitioner, Adult Health · Orlando, FL

NPI number1962395392
StatusActive
Last updated in NPPESNov 10, 2025

Details

NPI
1962395392
Entity type
Individual (NPI-1)
Name
Dr. Jacob Allen Flatten
Credential
AGAC-DNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 3, 2025
Certification date
Nov 10, 2025
Last updated
Nov 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthAPRN11040471FLYes
163WG0000X Registered Nurse, General Practice2465074MN

Practice location

22 Underwood St
Orlando, FL 32806-1110

Phone 407-648-3800 · Fax 407-872-7754

Mailing address

22 Underwood St
Orlando, FL 32806-1110

Phone 407-648-3800 · Fax 407-872-7754

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