DOUGLAS L JARRETT (NPI# 1447757547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447757547 |
| Entity Type | Individual |
| Full Name | DOUGLAS L JARRETT |
| Credential | APRN |
| Practice Address |
16261 Bass Rd Suite 300 Fort Myers FL 33908 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436410 |
| Practice Fax Number | 2393434014 |
| Mailing Telephone | 2393436410 |
| Mailing Fax Number | 2393434014 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN9241559 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | APRN9241559 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024607500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13685 Doctors Way Ste 330, Fort Myers, FL 339124347 | 2393431400 | 2393431430 |
| Street Address |
16261 BASS RD SUITE 300 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| 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 |
| 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 |
| 1902185226 | Yuneidys Rodriguez | Massage Therapist | 8750 Gladiolus Drive, Suite 5, Fort Myers, FL 33908 | 2011-08-04 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710317086 | Robert Mark Payne | Nurse Practitioner | 8255 College Pkwy Ste 200, Fort Myers, FL 33919-5119 | 2013-11-22 |
| 1356621338 | Care Practitioners LLC | Nurse Practitioner | 9174 River Otter Dr, Fort Myers, FL 33912-8920 | 2011-08-23 |
| 1306943758 | Nadine Elizabeth Gordon | Nurse Practitioner | 6360 Techster Blvd, Ste 1, Fort Myers, FL 33966-4805 | 2006-09-20 |
| 1891311916 | Elvira Ayupova | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-06-24 |
| 1871142430 | Kelly Ann Brown | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-09-06 |
| 1841751468 | Sandra Jean Craig | Nurse Practitioner | 13778 Plantation Rd, Fort Myers, FL 33912-4301 | 2019-03-27 |
| 1861963332 | Aimee Cassandra Routzong | Nurse Practitioner | 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905-7810 | 2018-12-10 |
| 1265907596 | Renato John Tolu | Nurse Practitioner | 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905-7810 | 2018-10-13 |
| 1467944116 | Clarice B Wei | Nurse Practitioner | 16261 Bass Rd Ste 300, Fort Myers, FL 33908 | 2018-05-30 |
| 1366956757 | Susanna Caroline Phillips | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-11-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on DOUGLAS L JARRETT.
| 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.