Individual provider · Type 1 NPI
Jennifer R. Jack, CPNP
Pediatric Nurse Practitioner · Fort Myers, FL
NPI number
1184045148
Active
Practice location
15901 Bass Rd Ste 102
Fort Myers, FL 33908-3838
Fax (239) 343-9898
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 28148319A (IN) |
| Pediatric Nurse Practitioner | 363LP0200X | 71004791A (IN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN11019090 (FL) |
Pediatric Nurse Practitioner: Definition to come...
16 other providers at this address
- Lee Memorial Health SystemFederally Qualified Health Center (FQHC) Fort Myers, FL NPI 1194307249
- Lee Memorial Health SystemFederally Qualified Health Center (FQHC) Fort Myers, FL NPI 1841870003
- Archana Ramaswami, MDPediatric Gastroenterology Physician Fort Myers, FL NPI 1912295841
- Betty Jean Fitzpatrick, RN, MSN, PNP-PCPediatric Nurse Practitioner Fort Myers, FL NPI 1871246249
- Bradley Sean Robison, PhDPsychologist Fort Myers, FL NPI 1700941945
- Cayce Jehaimi, MDPediatric Endocrinology Physician Fort Myers, FL NPI 1023278645
- David Weiberg, APRNPsychiatric/Mental Health Nurse Practitioner Fort Myers, FL NPI 1225918139
- German Andres Lozano Guzman, MDPediatric Nephrology Physician Fort Myers, FL NPI 1558660423
- Joanna TsikisPsychologist Fort Myers, FL NPI 1710543004
- Karen L. Wright, CRNPNeonatal Nurse Practitioner Fort Myers, FL NPI 1790964138
- Maria Barroso CueFamily Psychologist Fort Myers, FL NPI 1619321080
- Patricia Carolina Subnaik, DOPediatric Gastroenterology Physician Fort Myers, FL NPI 1093081986
Other pediatric nurse practitioner providers in Fort Myers
- Julissa Gonzalez, ARNPPediatric Nurse Practitioner Fort Myers, FL NPI 1073918157
- Paige Davidson, APRNPediatric Nurse Practitioner Fort Myers, FL NPI 1083418719
- Jean Marie Blascoe, CPNPPediatric Nurse Practitioner Fort Myers, FL NPI 1093975948
- Jamie L. Thomas, ARNPPediatric Nurse Practitioner Fort Myers, FL NPI 1174770408
- Kathleen N. Tenrreiro, ARNPPediatric Nurse Practitioner Fort Myers, FL NPI 1174877104
- Josie O'Toole, NPPediatric Nurse Practitioner Fort Myers, FL NPI 1346704046
- Kori Ann Howell Smith, APRNPediatric Nurse Practitioner Fort Myers, FL NPI 1427045491
- Susan Marie Mallone-Stead, APRNPediatric Nurse Practitioner Fort Myers, FL NPI 1487658316
About NPI 1184045148
Jennifer R. Jack, CPNP's National Provider Identifier is 1184045148, issued on Dec 18, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Myers, FL. The record was last updated on May 3, 2022.