JESSICA SHOTWELL ARNP NPI 1710966346

NPI Information

  • NPI: 1710966346
  • Provider Name: JESSICA SHOTWELL, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 4196 W US HIGHWAY 90 STE 105
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 243-8474

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NPI Details

Jessica Shotwell, ARNP is a pediatrics nurse practitioner in Lake City, FL. Jessica Shotwell, ARNP NPI is 1710966346. 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:

4196 W US HIGHWAY 90 STE 105
LAKE CITY, FL
ZIP 32055-834
Phone: (386) 243-8474
Fax: (386) 438-5945

The enumeration date for this NPI number is 1/12/2006 and was last updated on 7/10/2013.

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
1363LP0200XNurse PractitionerPediatricsARNP9220069FLORIDAYes

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
1307391200MEDICAIDFLORIDA

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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