Individual provider · Type 1 NPI
Denise Jacks, ARNP
Adult Health Nurse Practitioner · Port Orange, FL
NPI number
1104136738
Active
Practice location
3691 Clyde Morris Blvd
Port Orange, FL 32129-2317
Fax (866) 542-5859
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 3017972 (FL) |
Adult Health Nurse Practitioner: Definition to come...
6 other providers at this address
- Coretta Nichelle Murphy, MDInternal Medicine Physician Port Orange, FL NPI 1548373145
- Do Yoon Hwang, MDFamily Medicine Physician Port Orange, FL NPI 1750556817
- Edward Supinski, MDInternal Medicine Physician Port Orange, FL NPI 1700854833
- Lilia Deneb Vento Valverde, APRNFamily Nurse Practitioner Port Orange, FL NPI 1912581737
- Maria C. Roque, ARNPFamily Nurse Practitioner Port Orange, FL NPI 1730452103
- Pradyumansinh M. Chudasama, MDInternal Medicine Physician Port Orange, FL NPI 1306827027
Other adult health nurse practitioner providers in Port Orange
- Margaret Leger Ramstad, ARNPAdult Health Nurse Practitioner Port Orange, FL NPI 1093710907
- Lindsay Blaum, AGPCNPAdult Health Nurse Practitioner Port Orange, FL NPI 1437693256
- Holly MulveyAdult Health Nurse Practitioner Port Orange, FL NPI 1639534159
- Alison Lynn Gettman, ARNPAdult Health Nurse Practitioner Port Orange, FL NPI 1760665855
- Robert Dowler Meyers, ARNPAdult Health Nurse Practitioner Port Orange, FL NPI 1982984787
About NPI 1104136738
Denise Jacks, ARNP's National Provider Identifier is 1104136738, issued on Oct 17, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Orange, FL. The record was last updated on Jan 16, 2025.