JESSICA K SHUTT


Address: 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000
Phone: 3867750736

JESSICA K SHUTT (NPI# 1700052214) 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) 1700052214
Entity Type Individual
Full Name JESSICA K SHUTT
Credential RNCS
Practice Address 1403 Medical Plaza Dr
202
Sanford
FL 32771-1000
Practice Telephone 3867750736
Mailing Telephone 3867750736
Enumeration Date 2008-05-05
Last Update Date 2015-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
9410846 FL Physician Assistants & Advanced Practice Nursing Providers
N 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
233581 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1403 MEDICAL PLAZA DR
202
City SANFORD
State FL
Zip Code 32771-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043213234 Bhupinder S Mangat Specialist 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 2005-05-23
1164881751 Matthew Combes Physician Assistant 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 2016-02-11
1710345723 Ramon Luis Vega Chiropractor 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 2016-02-04
1477918415 The Urology Center Urology 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 2015-12-17
1548636830 Paula Wright Social Worker 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 2015-08-20
1215270764 Orlando Mota-aquino Pediatrics 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 2013-04-03
1427340975 Active Pain and Injury Inc Pain Medicine 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 2011-05-03
1861636078 Andrew Craig Skattum Surgery 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 2009-05-01
1417197393 Seminole Neurology Associates Pa Specialist 1403 Medical Plaza Dr, Suite 204, Sanford, FL 32771-1000 2009-03-04
1609056761 Mid Florida Physicians Inc Internal Medicine 1403 Medical Plaza Dr, Suite 207, Sanford, FL 32771-1000 2007-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134695224 Sheena L Grayson Pharmacist 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 2018-10-16
1699284299 Christopher Ryan King Chiropractor 1026 Old England Loop, Sanford, FL 32771 2017-09-26
1669991345 Scarlett Sierra Counselor 401 W Seminole Blvd, Sanford, FL 32771 2017-09-14
1881132249 Tracy Shibla Nurse Practitioner 2320 Retreat View Cir, Sanford, FL 32771 2017-02-06
1205387206 Tabitha Boyd Behavior Technician 4136 Geranium Ln #102, Sanford, FL 32771 2016-10-14
1104275874 Jessica Willis Nurse Anesthetist, Certified Registered 108 Temple Dr, Sanford, FL 32771 2016-06-03
1013379957 Bai Medical LLC Point of Service 580 Lexington Green Lane, Sanford, FL 32771 2016-03-21
1710347851 Melissa T Ramsawak Nurse Practitioner 4930 East Lake Mary Boulevard, Sanford, FL 32771 2016-03-02
1811394570 Tanesha Burns Counselor 209 San Carlos Ave Ste 111a, Sanford, FL 32771 2014-11-24
1053717322 Amy Hertz, Dmd and Minta Lopez-torres, Dmd Dentist 5030 West Sr 46, Suite 1018, Sanford, FL 32771 2014-11-13
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194335224 Teresa Lorraine Fuller Clinical Nurse Specialist 130 Carbonton Rd, Sanford, NC 27330-4009 2020-08-04
1710453261 Geneva Nicole Collins Clinical Nurse Specialist 130 Carbonton Rd, Sanford, NC 27330-4009 2018-10-22
1326543877 Jacqueline Kelly Keith Clinical Nurse Specialist 130 Carbonton Rd, Sanford, NC 27330-4009 2018-03-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740511815 Michelle Dan El Carr Clinical Nurse Specialist 902 Marlene Dr, Ocoee, FL 34761-3228 2010-01-28
1639403173 Ida Lou Mercer Clinical Nurse Specialist 4024 Central Ave., St. Petersburg, FL 33733-0970 2009-10-01
1881866937 Katherine Ntekim Clinical Nurse Specialist 8250 Sw 40th St, Suite C, Miami, FL 33155-3335 2008-03-28
1336329002 Building New Horizons, Inc. Clinical Nurse Specialist 2843 Alt 19, Palm Harbor, FL 34683-1926 2007-11-09
1811050909 Judith Ann Walters Clinical Nurse Specialist 9990 Coconut Rd, Estero, FL 34135-8488 2006-12-19
1477657831 Rebecca Dunn Clinical Nurse Specialist 2015 N Central Ave, Tampa, FL 33602 2006-09-07
1891332425 Michelle Dan El Carr Inc Clinical Nurse Specialist 902 Marlene Dr, Ocoee, FL 34761-3228 2019-12-02
1265716401 Emma Wood Clinical Nurse Specialist 100 N Main St, Chattahoochee, FL 32324-1107 2011-10-06
1740595271 Pam Rillstone, Phd, Cns, Bc, Ct, Pllc Clinical Nurse Specialist 6817 Southpoint Pkwy, Ste 304, Jacksonville, FL 32216-6282 2010-08-09
1851557748 Elizabeth Simoes Clinical Nurse Specialist 10000 Bay Pines Blvd, Bay Pines, FL 33744 2008-07-31
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Competitor

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City SANFORD
Zip Code 32771

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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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