Jaclyn Mason, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11004205 Issued in FL

Practice address

18431 Hawthorne Rd
Fort Myers, FL 33967-3276

Phone

(239) 989-3085

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1033760731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18431 HAWTHORNE RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673276",
            "telephone_number": "239-989-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18431 HAWTHORNE RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673276",
            "telephone_number": "239-989-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JACLYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Marzano, FNP-BC
• Toni H Marzella
• Odalisca Marzullo
• Carrie L Masch, CRNA
• Kaylee Rae Mashburn, PA-C
• Keri Lyn Mason, D.O.
• Re' Mason, PH.D., MAC, CAP
• Susan C Mason, APRN
• Alanna Masony, MSW
• Massage for Healthy Living, Inc.

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.