JACQUELINE WYNN


Address: 800 Goodlette Rd N Ste 340, Naples, FL 34102-5412
Phone: 2392061624

JACQUELINE WYNN (NPI# 1609131978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9282668 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FL BC Y0HN1 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
501 Goodlette Rd N Ste A100, Naples, FL 341025663 2394302520 2394302522

Other Providers JACQUELINE WYNN

NPI Name Taxonomy Address Enumeration
1730101437 Jacqueline W Wynn Psychologist 187 W Schrock Rd, Westerville, OH 43081-2890 2006-07-24

Office Location

Street Address 800 GOODLETTE RD N STE 340
City NAPLES
State FL
Zip Code 34102-5412

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City NAPLES
Zip Code 34102

Improve Information

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Dataset Information

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.

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