Jaqueline Sousa Carvalho, FNP-BC is a
Nurse Practitioner physician based in Fort Myers, Florida. Jaqueline Sousa Carvalho is licensed to practice in Florida (license number APRN11033857) and her current practice location is 12651 Whitehall Dr, Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 424-2030.
NPI number for Jaqueline Sousa Carvalho is 1003649476 and her current mailing address is Po Box 2147, Fort Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003649476.
Physician's Profile
Full Name | Jaqueline Sousa Carvalho |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 12651 Whitehall Dr, Fort Myers, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003649476
- Provider Enumeration Date: 08/21/2024
- Last Update Date: 02/07/2025
Medical Identifiers
Medical identifiers for Jaqueline Sousa Carvalho such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003649476 | NPI | - | NPPES |
125563500 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | APRN11033857 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN11033857 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaqueline Sousa Carvalho is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaqueline Sousa Carvalho, FNP-BC Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-7130 | Jaqueline Sousa Carvalho, FNP-BC 12651 Whitehall Dr, Fort Myers, FL 33907-3626 Ph: (239) 424-2030 |
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