JACQUELINE JENNINGS (NPI# 1780041483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780041483 |
| Entity Type | Individual |
| Full Name | JACQUELINE JENNINGS |
| Credential | RN |
| Practice Address |
1350 S Hickory St Melbourne FL 32901 |
| Mailing Address |
874 Bartel Ct Rockledge FL 32955 |
| Practice Telephone | 3214341816 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 9316317 | FL | Nursing Service Providers |
| Street Address |
1350 S HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526958 | Mark Edmund Pessa | Surgery | 1350 S Hickory St, Suite Pso, Melbourne, FL 32901 | 2005-05-24 |
| 1396026027 | Jessica Mortin Wicker | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
| 1518248251 | Mary Haddadin | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
| 1215235338 | Lee Ann Finizio | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-03-14 |
| 1700183506 | Space Coast Pathologists Pa | Clinical Medical Laboratory | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-02-15 |
| 1548562127 | Kimberly Lynn Hunger | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-12-02 |
| 1457661902 | Jason Michael Perry | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-10-18 |
| 1063722569 | Catherine Anne Barbour | Social Worker | 1350 S Hickory St, Case Management Department, Melbourne, FL 32901-3224 | 2010-10-18 |
| 1346571684 | Stephen Paul Gilbert | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
| 1790016996 | Stacey Marie Baggett | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197642 | Jennifer Greene | Registered Nurse | 2221 Town Center Ave Ste 121, Melbourne, FL 32940-6102 | 2020-09-08 |
| 1447888243 | Miranda Jackson | Registered Nurse | 1418 Hampton Park Ln, Melbourne, FL 32940-8143 | 2020-03-29 |
| 1891232310 | Patricia Marie Arenella | Registered Nurse | 2072 Elkins Point Dr, Melbourne, FL 32935-7800 | 2017-01-22 |
| 1679949366 | Jill Eisenhut | Registered Nurse | 944 Shaw Cir, Melbourne, FL 32940-6963 | 2015-08-17 |
| 1366879082 | Denise Janecke | Registered Nurse | 2145 Golf Isle Dr., Condo No. 1223, Melbourne, FL 32935 | 2013-09-27 |
| 1316237035 | Cynthia A Askew | Registered Nurse | 2203 Allan Adale Rd, Melbourne, FL 32935-3702 | 2011-04-14 |
| 1215535075 | Brooke Leigh Lushman | Registered Nurse | 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 | 2020-10-14 |
| 1740892413 | Jessica Cheperuk | Registered Nurse | 1601 S Apollo Blvd Ste C, Melbourne, FL 32901-4484 | 2020-08-23 |
| 1740892587 | Cara Francesca Demore | Registered Nurse | 400 East Sheridan Rd, Melbourne, FL 32901-3184 | 2020-08-22 |
| 1639789589 | Corie Jo Maurer | Registered Nurse | 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 | 2020-08-05 |
| Find all providers in MELBOURNE | ||||
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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.