JELISSE M MARRERO


Address: 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428
Phone: 9047275151

JELISSE M MARRERO (NPI# 1659763670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659763670
Entity Type Individual
Full Name JELISSE M MARRERO
Credential ARNP
Practice Address 1201 Monument Rd Ste 200
Jacksonville
FL 32225-7428
Mailing Address 2675 Winkler Ave Fl 2
Fort Myers
FL 33901-9342
Practice Telephone 9047275151
Practice Fax Number 9047275180
Mailing Telephone 8778563774
Enumeration Date 2015-02-27
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP9270453 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 014567700 05
FL BCBS Y0QY8 01
FL MEDICARE KS971 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1351 13th Ave S, Jacksonville Beach, FL 322503234 9042499995 9042499449

Office Location

Street Address 1201 MONUMENT RD STE 200
City JACKSONVILLE
State FL
Zip Code 32225-7428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962464461 Ulises Manuel Caraballo Family Medicine 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 2006-04-03
1609284983 Stacey Shelton Nurse Practitioner 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 2014-07-30
1841515095 Hospitalists Prn LLC Internal Medicine 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 2010-03-31
1083725048 Ruth M. King Physician Assistant 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 2006-08-31
1528002748 Oscar Enrique Rodas Internal Medicine 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 2006-06-16
1609838127 Zwinda Sahyly Ortiz-roldan Family Medicine 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 2006-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700356367 Ajay S Lewis Counselor 3010 Cobblewood Ln East, Jacksonville, FL 32225 2018-11-27
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639786338 Bernardo C Lobusta Jr. Nurse Practitioner 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 2020-09-26
1720695513 Kristin Browning Nurse Practitioner 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 2020-09-25
1780295667 Sharnice Letia White Nurse Practitioner 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 2020-08-13
1891305082 Kayla Susan Weller Nurse Practitioner 4361 Gadsden Ct, Jacksonville, FL 32207-6218 2020-08-03
1952925315 Michelle Benefield Nurse Practitioner 605 W Beaver St, Jacksonville, FL 32202-4722 2020-06-02
1831739887 Melanie Bautista Nurse Practitioner 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 2020-01-07
1235776279 Janine Mancusi Nurse Practitioner 417 Brody Cove Trl, Jacksonville, FL 32225-5113 2019-12-10
1114576881 Delesa Gabrielle Bradley Nurse Practitioner 1602 S Jackson St, Jacksonville, TX 75766-3028 2019-09-05
1508411190 Jaclyn Michelle Bowden Nurse Practitioner 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 2019-08-09
1386297414 Rebecca Newell Nurse Practitioner 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 2019-07-17
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Competitor

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City JACKSONVILLE
Zip Code 32225

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Dataset Information

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.

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