JESSICA HENDRICKS (NPI# 1265720023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265720023 |
| Entity Type | Individual |
| Full Name | JESSICA HENDRICKS |
| Credential | ARNP |
| Practice Address |
2776 Cleveland Ave Fort Myers FL 33901-5864 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393432052 |
| Practice Fax Number | 2394241421 |
| Mailing Telephone | 2393432052 |
| Mailing Fax Number | 2393435348 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP3300742 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004006600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852722 | Jessica Hendricks | Registered Nurse | 920 Oliver Rd # B, Monroe, LA 71201-5702 | 2020-05-07 |
| 1245876333 | Jessica Hendricks | Nurse Practitioner | 7430 Jean Dr, West Chester, OH 45069-2659 | 2019-11-23 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1659556348 | Jessica A Hendricks | Specialist | 145 S 19th St, Lynden, WA 98264-1724 | 2008-01-01 |
| 1891284691 | Jessica Hendricks | Occupational Therapist | 6520 University Ave Spc 5, Lubbock, TX 79413-5811 | 2018-05-07 |
| 1578942553 | Jessica Hendricks | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2015-05-25 |
| 1417371501 | Jessica Hendricks | Social Worker | 1200 N West Ave, Suite 300, Jackson, MI 49202-2179 | 2014-02-10 |
| 1720412299 | Jessica Jannette Hendricks | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2013-09-02 |
| 1881954386 | Jessica Lauren Hendricks | Physical Therapist | 2045 Broadwater Ave, Suite 3, Billings, MT 59102-4810 | 2012-05-18 |
| Street Address |
2776 CLEVELAND AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185356 | Matthew Edward Meagher | Physician Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2005-06-28 |
| 1720695125 | Jessica Anne Tyler | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-09-29 |
| 1104455187 | Lee Memorial Health System | Pharmacy | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-04-02 |
| 1508490475 | Phillip Wendinger | Family Medicine | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-02-28 |
| 1285278523 | Patricia Bernard | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-10-30 |
| 1477103927 | Jason Cotterill | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-17 |
| 1104476985 | Katelyn Van De Water | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-13 |
| 1013566264 | Felicia Taylor | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-10 |
| 1235788530 | Amanda Linzalone | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5855 | 2019-09-09 |
| 1316592694 | Scott Danek | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330714 | Renuka Jackson | Nurse Practitioner | 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912-4367 | 2020-06-09 |
| 1386101798 | Debra Lee Sicilian | Nurse Practitioner | 2327 Jeffcott St, Fort Myers, FL 33901-5211 | 2019-02-22 |
| 1619452877 | Kamila Shurii Tursi | Nurse Practitioner | 6631 Orion Dr Ste 110, Fort Myers, FL 33912-4333 | 2018-10-03 |
| 1003396714 | Carmalee Martin | Nurse Practitioner | 9341 Via San Giovani St, Fort Myers, FL 33905-5564 | 2018-08-21 |
| 1740779701 | Dedra Dawn Coop | Nurse Practitioner | 13300 S Cleveland Ave Ste 56, Fort Myers, FL 33907-3871 | 2018-05-05 |
| 1073039087 | Ruth Milien Jonathas | Nurse Practitioner | 16420 Healthpark Commons Dr Ste 100, Fort Myers, FL 33908-9621 | 2017-08-21 |
| 1396283578 | Jerry Hernandez Sr. | Nurse Practitioner | 12731 World Plaza Ln Bldg 83, Fort Myers, FL 33907-4081 | 2017-02-07 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| 1942752134 | Lauren Chandler Masters | Nurse Practitioner | 14300 Riva Del Lago Dr Apt 704, Fort Myers, FL 33907-7804 | 2016-11-04 |
| 1467706192 | Kerry Spillane | Nurse Practitioner | 9981 S. Healthpark Dr, Fort Myers, FL 33908-3618 | 2012-11-02 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.