Individual ProviderJennifer CouchNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10414 Cypress Trail Dr, Orlando, FL 32825-5041(407) 227-2323PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Couch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366909749Provider TypeIndividualFull NameCouch, JenniferCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date2/21/2019Last Updated2/21/2019Contact InformationPractice LocationPractice Address10414 Cypress Trail Dr, Orlando, FL 32825-5041Phone(407) 227-2323FaxUnlisted FaxMailing LocationMailing Address10414 Cypress Trail Dr, Orlando, FL 32825-5041Phone(407) 227-2323FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF02190122Florida