Jennifer R Jack, CPNP | |
15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | |
(239) 343-9890 | |
(239) 343-9898 |
Full Name | Jennifer R Jack |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 15901 Bass Rd Ste 102, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184045148 | NPI | - | NPPES |
113907600 | Medicaid | FL |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
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Jennifer R Jack, CPNP Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-9890 | Jennifer R Jack, CPNP 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 Ph: (239) 343-9890 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794 |