DOUGLAS L JARRETT APRN NPI 1447757547

NPI Information

NPI: 1447757547
Provider Name: DOUGLAS L JARRETT, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
16261 BASS RD SUITE 300
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-6410
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Douglas L Jarrett, APRN is an acute care nurse practitioner in Fort Myers, FL with 7 years of experience. Douglas L Jarrett, APRN NPI is 1447757547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

16261 BASS RD SUITE 300
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-6410
Fax: (239) 343-4014

The NPI 1447757547 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 4/6/2018 and was last updated on 3/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	APRN9241559	FLORIDA	Yes
2	364S00000X	Clinical Nurse Specialist		APRN9241559	FLORIDA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	024607500	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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