MRS. JACQUELYN RAE FORSYTHE (NPI# 1366543266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366543266 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYN RAE FORSYTHE |
| Credential | ARNP |
| Practice Address |
3033 Winkler Avenue Ext Fort Myers FL 33916-9413 |
| Mailing Address |
9061 Sw Lipe Rd Arcadia FL 34269-6605 |
| Practice Telephone | 2399393939 |
| Mailing Telephone | 8634943840 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1718622 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3033 WINKLER AVENUE EXT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639165301 | Gerald Leslie Arenstein | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2005-09-27 |
| 1164728697 | Ronald Roy Spencer Sr. | Counselor | 3033 Winkler Avenue Ext, Va Outpatient Clinic, Fort Myers, FL 33916-9413 | 2011-02-01 |
| 1922310689 | Kimberly Marie Argudin Spilman | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2010-07-10 |
| 1760611792 | Dustin Scot Edwards | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-07-13 |
| 1952548430 | Wendy Dean | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-01-20 |
| 1417106816 | Mary B Morgan | Student in an Organized Health Care Education/Training Program | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2008-09-10 |
| 1811150089 | Thomas Frederick Mattras | Internal Medicine | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2008-07-08 |
| 1891913257 | Panee Tantranond | Clinic/Center | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2007-04-23 |
| 1548390883 | Mary Cynthia Noel | Nurse Practitioner | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2007-03-06 |
| 1184750358 | Peter Anthony Pantera | Podiatrist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2007-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341450 | Kimberly Debow | Nurse Practitioner | 14646 Aeries Way Dr, Fort Myers, FL 33912-1703 | 2019-02-06 |
| 1144704917 | Adelene Frances Tolisano | Nurse Practitioner | 6840 Fairview St, Fort Myers, FL 33966-1133 | 2018-09-18 |
| 1215417951 | Doreen Destefano | Nurse Practitioner | 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907-5638 | 2018-08-21 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1891127791 | Kimberly A. Litka | Nurse Practitioner | 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 33912-4367 | 2013-08-01 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1376694778 | Melanie Makar | Nurse Practitioner | 1390 Royal Palm Square Blvd, Fort Myers, FL 33919-1077 | 2007-01-15 |
| 1598814972 | Deborah Wince Chapa | Nurse Practitioner | 8925 Colonial Center Drive, Suite 1000, Fort Myers, FL 33905-7810 | 2007-01-09 |
| 1316048895 | Laurie Haefele | Nurse Practitioner | 11215 Metro Pkwy, Fort Myers, FL 33966-1206 | 2006-09-26 |
| 1457451130 | Jo Anne Theresa Kowalski | Nurse Practitioner | 17050 Coral Cay Ln, Fort Myers, FL 33908-5073 | 2006-09-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on MRS. JACQUELYN RAE FORSYTHE.
| 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.