JACQUELINE WYNN (NPI# 1609131978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609131978 |
| Entity Type | Individual |
| Full Name | JACQUELINE WYNN |
| Other Name | JACQUELINE HURLEY |
| Credential | ARNP |
| Practice Address |
800 Goodlette Rd N Ste 340 Naples FL 34102-5412 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 2392061624 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992625 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9282668 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL BC | Y0HN1 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Goodlette Rd N Ste A100, Naples, FL 341025663 | 2394302520 | 2394302522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101437 | Jacqueline W Wynn | Psychologist | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2006-07-24 |
| Street Address |
800 GOODLETTE RD N STE 340 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676598 | Ludmilla Gabriel | Nurse Practitioner | 4975 Tamiami Trl E, Naples, FL 34113-4131 | 2020-10-13 |
| 1891302956 | Anthony Carmine Aceto | Nurse Practitioner | 4913 Sedgewood Ln, Naples, FL 34112-7932 | 2020-09-23 |
| 1871109462 | Agnabel Jimenez | Nurse Practitioner | 1099 Port Orange Way, Naples, FL 34120-2917 | 2020-09-18 |
| 1295341170 | Carol Vincent | Nurse Practitioner | 3890 11th Ave Sw, Naples, FL 34117-4140 | 2020-09-16 |
| 1548887508 | Warly Gonzalez Moreno | Nurse Practitioner | 6188 Parkers Hammock Rd, Naples, FL 34112 | 2020-06-25 |
| 1679109243 | Laura Rodriguez Dopico | Nurse Practitioner | 630 14th St Se, Naples, FL 34117-3695 | 2020-03-16 |
| 1912532698 | Mariana Peralta Perez | Nurse Practitioner | 5609 Marigold Way Apt 308, Naples, FL 34109-2751 | 2020-03-03 |
| 1962051805 | Diana C Perez-charton | Nurse Practitioner | 2350 Vanderbilt Beach Rd Ste 201, Naples, FL 34109-2760 | 2019-09-04 |
| 1518515345 | Jeanwilly Francois | Nurse Practitioner | 8831 Immokalee Rd Fl 34120, Naples, FL 34120-3914 | 2019-08-26 |
| 1013569417 | Moises Exposito | Nurse Practitioner | 145 Sabal Lake Dr, Naples, FL 34104-6407 | 2019-07-15 |
| Find all providers in NAPLES | ||||
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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.