Provider Type Icon

MS. JEANNINE LOUISE EVERETT ARNP NPI 1083614952


NPI Information

NPI: 1083614952
Provider Name: MS. JEANNINE LOUISE EVERETT, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
43 BARKLEY CIR
STE. 201
FORT MYERS, FL
ZIP 33907
Phone: (239) 936-5250
Get Directions

MS. Jeannine Louise Everett, ARNP is a psychiatric/mental health nurse practitioner in Fort Myers, FL. MS. Jeannine Louise Everett, ARNP NPI is 1083614952. 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:

43 BARKLEY CIR
STE. 201
FORT MYERS, FL
ZIP 33907-510
Phone: (239) 936-5250
Fax: (239) 936-9970

The NPI 1083614952 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 7/21/2005 and was last updated on 10/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364S00000XClinical Nurse Specialist70000188AINDIANANo
2101Y00000XCounselor28140609AINDIANANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9428067FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1968950JMEDICARE UPININDIANA
2017341900MEDICAIDFLORIDA
3Q22945MEDICARE UPIN
4141570IMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.