Jennifer J Paul, RN CNOR CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

1748502 Issued in FL

Practice address

16295 S. Tamiami Trail #183
Fort Myers, FL 33908-5326

Phone

(239) 433-0035

Fax

(239) 267-5661

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional RN First Assistants, P.a.

  • Registered Nurse First Assistant
  • Fort Myers, FL
  • NPI 1568604940
  NPD Authorized official
• Precision Healthcare Specialists, LLC

  • Otolaryngology Physician
  • Fort Myers, FL
  • NPI 1457050106
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1104970409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16295 S. TAMIAMI TRAIL #183",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085326",
            "telephone_number": "239-433-0035",
            "fax_number": "239-433-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16295 S. TAMIAMI TRAIL #183",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085326",
            "telephone_number": "239-433-0035",
            "fax_number": "239-267-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN CNOR CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "1748502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310013800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y6478",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil E. Pauker, M.D.
• Paul S Decarlo Jr. D.D.S., P.a.
• Josette Paul-Dorestin
• Charlene Paul, LPN
• James Joseph Paul
• Steven Aaron Paul, MD
• Elizabeth Paula
• Jessica Paula
• Rafael Paula, MD
• Lia Paulino-Ovalles

• Registered Nurse First Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.