Jennifer Jack, CPNP

Individual Active
NPI 1184045148
Pediatric Nurse Practitioner Fort Myers, FL

Jennifer Jack, CPNP holds NPI 1184045148, with a primary taxonomy of pediatric nurse practitioner and a practice location in Fort Myers, FL. The number was issued on December 18, 2013 and the NPPES record was last updated on May 3, 2022. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X APRN11019090 (FL)
Pediatric Nurse Practitioner 363LP0200X 28148319A (IN)
Pediatric Nurse Practitioner 363LP0200X 71004791A (IN)

Practice location

15901 Bass Rd Ste 102
Fort Myers, FL 33908-3838
Phone: (239) 343-9890

Local context

Active NPPES records list 31 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 23 of them within 10 miles.

The same primary taxonomy is listed by 1,566 in Florida and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jennifer R Jack
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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