JERRY HERNANDEZ SR. (NPI# 1396283578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396283578 |
| Entity Type | Individual |
| Full Name | JERRY HERNANDEZ SR. |
| Credential | ARNP, FNP-ACAGNP |
| Practice Address |
12731 World Plaza Ln Bldg 83 Fort Myers FL 33907-4081 |
| Mailing Address |
130 E Marion Ave Unit 511323 Punta Gorda FL 33951-3662 |
| Practice Telephone | 9418768486 |
| Mailing Telephone | 9418768486 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9335689 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649565557 | Jerry Hernandez | Dentist | 7484 University Ave, Ste. 150, La Mesa, CA 91942-6063 | 2011-06-20 |
| 1639394802 | Jerry Hernandez | Family Medicine | 1701 S 4th St, Clinton, OK 73601-2309 | 2007-04-14 |
| 1841824349 | Jerry Xavier Hernandez | Counselor | 153 N U St, Fresno, CA 93701-2438 | 2020-02-24 |
| Street Address |
12731 WORLD PLAZA LN BLDG 83 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-4081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330714 | Renuka Jackson | Nurse Practitioner | 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912-4367 | 2020-06-09 |
| 1386101798 | Debra Lee Sicilian | Nurse Practitioner | 2327 Jeffcott St, Fort Myers, FL 33901-5211 | 2019-02-22 |
| 1619452877 | Kamila Shurii Tursi | Nurse Practitioner | 6631 Orion Dr Ste 110, Fort Myers, FL 33912-4333 | 2018-10-03 |
| 1003396714 | Carmalee Martin | Nurse Practitioner | 9341 Via San Giovani St, Fort Myers, FL 33905-5564 | 2018-08-21 |
| 1740779701 | Dedra Dawn Coop | Nurse Practitioner | 13300 S Cleveland Ave Ste 56, Fort Myers, FL 33907-3871 | 2018-05-05 |
| 1073039087 | Ruth Milien Jonathas | Nurse Practitioner | 16420 Healthpark Commons Dr Ste 100, Fort Myers, FL 33908-9621 | 2017-08-21 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| 1942752134 | Lauren Chandler Masters | Nurse Practitioner | 14300 Riva Del Lago Dr Apt 704, Fort Myers, FL 33907-7804 | 2016-11-04 |
| 1467706192 | Kerry Spillane | Nurse Practitioner | 9981 S. Healthpark Dr, Fort Myers, FL 33908-3618 | 2012-11-02 |
| 1972872679 | Evelyn S Perez | Nurse Practitioner | 13685 Doctor's Way, Suite 310, Fort Myers, FL 33912-4300 | 2011-12-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.