JESSICA ALEXANDRA FENNELL-THOMAS (NPI# 1730623851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730623851 |
| Entity Type | Individual |
| Full Name | JESSICA ALEXANDRA FENNELL-THOMAS |
| Credential | APRN |
| Practice Address |
1148 E Gibson St Bldg B Arcadia FL 34266-5011 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 8634946222 |
| Practice Fax Number | 8634943227 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9294156 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1148 E GIBSON ST BLDG B |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807997 | Betzaida Ortega | Nurse Practitioner | 11252 La Rosa Dr, Arcadia, CA 91006-5928 | 2020-09-23 |
| 1780211607 | Jennifer Stevenson Roy | Nurse Practitioner | 1175 Pine St Ste 100, Arcadia, LA 71001-3122 | 2020-03-23 |
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1982261467 | Keosha Jackson | Nurse Practitioner | 1843 Sw Hendry St, Arcadia, FL 34266-8999 | 2019-05-21 |
| 1689142846 | Tamara Porter | Nurse Practitioner | 1693 Nw Pine Creek Ave, Arcadia, FL 34266-5176 | 2018-11-06 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1275063687 | Jennifer Ruth Li | Nurse Practitioner | 289 W Huntington Dr Ste 305, Arcadia, CA 91007-3495 | 2017-06-18 |
| 1093268278 | Amy Dawn Maley | Nurse Practitioner | 75 W Shore Dr, Arcadia, OK 73007-7107 | 2016-07-25 |
| 1790024297 | Vien Thanh Nguyen | Nurse Practitioner | 354 Harvard Dr, Arcadia, CA 91007-2636 | 2013-02-05 |
| 1427319896 | Jennifer Paige Doyal | Nurse Practitioner | 1175 Pine Street, Suite 100, Arcadia, LA 71001 | 2012-06-01 |
| Find all providers in ARCADIA | ||||
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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.