Individual provider · Type 1 NPI
Jamie C. Jennings, CPNP-AC
Critical Care Pediatric Nurse Practitioner · North Port, FL
NPI number
1053788752
Active
Practice location
3149 Bobcat Village Rd, 3149 Bobcat Village Rd
North Port, FL 34288
Fax (727) 767-2596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.17926 (OH) |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | APRN.CNP.17926 (OH) |
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | APRN11006919 (FL) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
About NPI 1053788752
Jamie C. Jennings, CPNP-AC's National Provider Identifier is 1053788752, issued on Aug 28, 2015. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in North Port, FL. The record was last updated on Aug 14, 2025.