MRS. AMY JO DUDLEY (NPI# 1851604813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851604813 |
| Entity Type | Individual |
| Full Name | MRS. AMY JO DUDLEY |
| Credential | ARNP |
| Practice Address |
15071 Shell Point Blvd Shell Point Retirement Community Pavilion Fort Myers FL 33908-1639 |
| Practice Telephone | 2394542146 |
| Practice Fax Number | 2394542111 |
| Mailing Telephone | 2394542146 |
| Mailing Fax Number | 2394542111 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3279162 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP3279162 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588028567 | Amy Elizabeth Dudley | Family Medicine | 623 S Main St Ste 100, Moscow, ID 83843-2983 | 2016-04-06 |
| 1265683601 | Amy Keeney Dudley | Nurse Practitioner | 3600 Washington Street, Memorial Hospital South, Hollywood, FL 33021 | 2008-10-03 |
| 1508486028 | Amy Dudley | Pharmacist | 108 8th St Sw, Altoona, IA 50009-1760 | 2020-04-24 |
| 1417147331 | Amy L.r. Dudley | Family Medicine | 2 Great Falls Plz Ste 21, Auburn, ME 04210 | 2007-07-26 |
| Street Address |
15071 SHELL POINT BLVD SHELL POINT RETIREMENT COMMUNITY PAVILION |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669546321 | The Christian & Missionary Alliance Foundation Inc | Skilled Nursing Facility | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2006-11-17 |
| 1104447945 | Jocelyn Dawal | Speech-Language Pathologist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2020-05-04 |
| 1215406228 | Laurie Ann Knight Kjoller | Social Worker | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-11-19 |
| 1093297715 | Jeffrey Aaron Pennock I | Occupational Therapist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-08-29 |
| 1871075663 | Freddy L Rodriguez Sr. | Occupational Therapist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-08-29 |
| 1215392022 | Christine Gulotta | Physical Therapist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384154 | Melissa Connors | Nurse Practitioner | 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 | 2020-10-18 |
| 1982202412 | Amanda Shively | Nurse Practitioner | 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 | 2020-10-16 |
| 1205433828 | Kenneth Midoneck | Nurse Practitioner | 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 | 2020-10-06 |
| 1881218246 | Miraleen Patel | Nurse Practitioner | 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 | 2020-06-02 |
| 1194350348 | Zuleima Lozada | Nurse Practitioner | 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 | 2020-03-09 |
| 1962034686 | Kathleen A Shelton | Nurse Practitioner | 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 | 2020-02-11 |
| 1275173155 | Optimal Healing Healthcare Services, LLC | Nurse Practitioner | 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 | 2020-01-08 |
| 1033760731 | Jaclyn Mason | Nurse Practitioner | 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 | 2019-09-24 |
| 1245894419 | Sonya Brielle Hayhurst | Nurse Practitioner | 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 | 2019-04-23 |
| 1083175871 | Jackelin Smith | Nurse Practitioner | 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 | 2019-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MRS. AMY JO DUDLEY.
| 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.