Jennifer R Jack, CPNP is a pediatrics nurse practitioner in Fort Myers, FL. Jennifer R Jack, CPNP NPI is 1184045148. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
15901 BASS RD STE 102
FORT MYERS, FL
ZIP 33908-838
Phone: (239) 343-9890
Fax: (239) 343-9898
The NPI 1184045148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/18/2013 and was last updated on 5/3/2022.