Individual provider · Type 1 NPI

Jerad Rardin

Nurse Practitioner · Fort Myers, FL

NPI number 1083163042 Active

Practice location

13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347

Call (239) 343-3800 Map

Fax (239) 343-3993

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN148874 (GA)
Nurse Practitioner Primary 363L00000X11010462 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083163042

Jerad Rardin's National Provider Identifier is 1083163042, issued on Sep 30, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 20, 2024.