Individual provider Active NPI

Jennifer Ethel Sizemore, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1255965919
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11008217 Issued in FL
Practice address
4469 Clinton St Ste B
Marianna, FL 32446-3453
Phone
(850) 693-4171
Fax
(850) 303-6006
NPI assigned
Mar 2, 2020
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11008217 FL Primary

Addresses

Primary practice location

4469 Clinton St Ste B
Marianna, FL 32446-3453

Mailing address

90 Southern Oak Dr
Dothan, AL 36301-7643
Phone (850) 658-2569

Other practice location 1

90 Southern Oak Dr
Dothan, AL 36301-7643
Phone (850) 658-2569

Other practice location 2

612 Byrd Parker Dr Ste B
Wewahitchka, FL 32465-3304
Phone (850) 693-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200724000411 FL Practitioner - Nurse Practitioner 5597189456 Reassigns benefits to 3 organizations
I20200901002992 AL Practitioner - Nurse Practitioner 5597189456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4469 Clinton St
Suite B
Marianna, FL 32446-3453
Phone (850) 693-4171

612 Byrd Parker Dr
Wewahitchka, FL 32465-3304
Phone (850) 693-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11008217FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Wellness Center, LLC CurrentSince Jul 22, 2020 Accepting new patients
Warren Behavioral Care, Inc CurrentSince Sep 26, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 23, 2025 Accepting new patients
Restoration and Resilience Counseling, LLC CurrentSince Oct 21, 2025 Accepting new patients
Dothan Psychiatry & Sleep Disorders Medicine, PC Current Accepting new patients
Southern Roots Psychiatry Inc Psychiatric/Mental Health CurrentSince Apr 29, 2025 Accepting new patients
Warren Behavioral Care PastSince Jul 22, 2020 Accepting new patients

Locations

201 Regency Ct
Dothan, AL 36305

408 Healthwest Dr
Dothan, AL 36303
Phone (334) 702-7222

141 Scouting Cir
Troy, AL 36081
Phone (334) 702-7222

153 Scouting Cir
Troy, AL 36081
Phone (334) 808-8991

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

4296 5th Ave
Marianna, FL 32446
Phone (850) 482-2061

4428 Lafayette St
Marianna, FL 32446
Phone (850) 482-4177

4469 Clinton St
Ste B
Marianna, FL 32446
Phone (850) 394-4603

4636 Highway 90
Ste M
Marianna, FL 32446
Phone (850) 379-5800

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1255965919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTHERN OAK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363017643",
            "telephone_number": "850-658-2569",
            "fax_number": "850-303-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 CLINTON ST STE B",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463453",
            "telephone_number": "850-693-4171",
            "fax_number": "850-303-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Southern Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363017643",
            "country_code": "US",
            "telephone_number": "850-658-2569",
            "fax_number": "850-303-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Byrd Parker Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Wewahitchka",
            "state": "FL",
            "postal_code": "324653304",
            "country_code": "US",
            "telephone_number": "850-693-4171",
            "fax_number": "850-303-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "JENNIFER",
        "middle_name": "ETHEL",
        "credential": "MSN, RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11008217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.