Jennifer R Jack is a Fort Myers, Florida based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Jennifer R Jack is APRN11019090 for Pediatrics in Florida. Her current practice location is 15901 Bass Rd Ste 102, Fort Myers. Patients can reach her at 239-343-9890 or can fax her at 239-343-9898. Jennifer R Jack is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1184045148. Jennifer R Jack specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Jennifer R Jack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jennifer R Jack
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
CPNP
Practice Address:
15901 Bass Rd Ste 102, Fort Myers, Florida, 33908-3838
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184045148
NPI Enumeration Date:
18 Dec, 2013
NPI Last Update On:
03 May, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer R Jack are as mentioned below.
License Number
Specialization
State
Status
APRN11019090
Pediatrics
Florida
Primary
28148319A
Pediatrics
Indiana
Secondary
71004791A
Pediatrics
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer R Jack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
113907600
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jennifer R Jack Po Box 2147, Fort Myers, Florida
Zip:
33902-2147
Phone Number:
239-343-9890
Fax Number:
239-343-9898
Patients can reach Jennifer R Jack at 15901 Bass Rd Ste 102, Fort Myers, Florida or can call to book an appointment on 239-343-9890.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.