Eternal Essence NP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ETERNAL ESSENCE NP LLC

Practice address

12730 Commonwealth Dr Ste 6
Fort Myers, FL 33913-8079

Phone

(941) 218-0479

Fax

(239) 227-2079

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Jason Farah, ARNPNPI 1275308157

Title

Owner

Phone

(941) 218-0479

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason P Farah, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1275308157
  NPD (past) Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1326919291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 SAND PINE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138814",
            "telephone_number": "239-227-2079",
            "fax_number": "239-227-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 COMMONWEALTH DR STE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138079",
            "telephone_number": "941-218-0479",
            "fax_number": "239-227-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11208 Sand Pine Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339138814",
            "country_code": "US",
            "telephone_number": "941-218-0479",
            "fax_number": "239-227-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETERNAL ESSENCE NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-218-0479",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reynier Robel Estrada Infante, APRN
• Fabian Estrada
• Estuary Therapy LLC
• Eternity Home Health Inc
• Marc Etienne
• Natanaela Etienne
• Peterling Etienne
• Roselaure Saintilmont Etienne

• 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 Jun 22, 2026; 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.