JESSICA K SHUTT RNCS NPI 1700052214

NPI Information

  • NPI: 1700052214
  • Provider Name: JESSICA K SHUTT, RNCS
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2725 REBECCA LN STE 107
    ORANGE CITY, FL
    ZIP 32763
  • Phone: (386) 775-0736

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NPI Details

Jessica K Shutt, RNCS is a psychiatric/mental health and adult clinical nurse specialist in Orange City, FL. Jessica K Shutt, RNCS NPI is 1700052214. 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:

2725 REBECCA LN STE 107
ORANGE CITY, FL
ZIP 32763-350
Phone: (386) 775-0736
Fax: (386) 775-0738

The NPI 1700052214 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 5/5/2008 and was last updated on 12/12/2023.

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
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult233581MASSACHUSETTSNo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult9410846FLORIDAYes

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: 11/21/2025

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