JESSICA BENNETT (NPI# 1104466556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104466556 |
| Entity Type | Individual |
| Full Name | JESSICA BENNETT |
| Credential | ARNP |
| Practice Address |
221 Hospital Dr Ne Fort Walton Beach FL 32548-5066 |
| Mailing Address |
178 Kel Wen Cir Destin FL 32541-3711 |
| Practice Telephone | 8508339240 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
11002546 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
| 1275011223 | Jessica Bennett | Dietitian, Registered | 1211 21st Ave South 607 Mab, Nashville, TN 37232-1320 | 2018-08-01 |
| 1538675079 | Jessica Bennett | Behavioral Analyst | 7050 W 107th St Ste 110, Overland Park, KS 66212-1829 | 2017-12-20 |
| 1578014072 | Jessica Bennett | Emergency Medical Technician, Intermediate | 25 Se Wanapa St, Cascade Locks, OR 97014-7002 | 2016-10-19 |
| 1306396197 | Jessica Dale Bennett | Occupational Therapy Assistant | 6401 Ohio Dr, Plano, TX 75024-6700 | 2016-10-05 |
| 1033667803 | Jessica Lee Bennett | Specialist/Technologist | 134 N Rose St, Baltimore, MD 21224-1152 | 2016-09-21 |
| 1821483025 | Jessica Lynn Bennett | Registered Nurse | 3020 Children's Way, Mc 5008, San Diego, CA 92123 | 2015-04-03 |
| 1699163170 | Jessica Bennett | Advanced Practice Midwife | 3679 S Shortleaf Ave, Boise, ID 83716-8617 | 2015-01-06 |
| 1902219587 | Jessica Bennett | Social Worker | 216 Olive St, Texarkana, AR 71854-5932 | 2014-06-11 |
| Street Address |
221 HOSPITAL DR NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487646725 | Sally A. Cooper | Emergency Medicine | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2005-08-22 |
| 1942759170 | Naomi Rose Vestel | Nurse Practitioner | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2016-09-29 |
| 1679846588 | Britanee Ellen Davis | Nurse Practitioner | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2012-02-23 |
| 1194000927 | Rosemarie M Schultz | Obstetrics & Gynecology | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2011-10-12 |
| 1295973865 | Shannon Rae Burke | Licensed Practical Nurse | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2009-02-04 |
| 1881841377 | Joanna Maria Tousignant | Registered Nurse | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2008-08-26 |
| 1972763324 | Nyssa Pearce | Licensed Practical Nurse | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2008-06-10 |
| 1851551287 | Takeda L. Woods | Licensed Practical Nurse | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2008-06-10 |
| 1649442989 | Latonya Annette Gray | Licensed Practical Nurse | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2008-03-27 |
| 1417129917 | Catherine Ann Spears | Registered Nurse | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2008-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962463885 | Penelope Linda Carter | Nurse Practitioner | 907 Mar Walt Dr, Fort Walton Beach, FL 32547-6960 | 2006-03-30 |
| 1346200417 | Susan Kay Block | Nurse Practitioner | 320 Racetrack Rd Nw Ste 100a, Fort Walton Beach, FL 32547-1796 | 2006-03-24 |
| 1942759170 | Naomi Rose Vestel | Nurse Practitioner | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2016-09-29 |
| 1972843902 | Melissa Delsid | Nurse Practitioner | 1005 Mar Walt Drive, Gyn Department, Fort Walton Beach, FL 32547-6796 | 2013-02-28 |
| 1073573945 | Brenda Carol Dixon | Nurse Practitioner | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
| 1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
| 1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
| 1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
| 1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
| 1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
| 1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
| 1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
| 1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
| 1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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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.