Portia Sherylene Jennison

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

110 Confederate Point Rd
Palatka, FL 32177-8552

Phone

(386) 538-1325

NPI assigned

Jul 3, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1417519083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CONFEDERATE POINT RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778552",
            "telephone_number": "386-538-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CONFEDERATE POINT RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778552",
            "telephone_number": "386-538-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNISON",
        "first_name": "PORTIA",
        "middle_name": "SHERYLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome R Jacobson, M.D.
• Vidya Sagar Jain, MD
• Janet L James, BS
• Patricia Jamo-Place, ARNP
• Jeffrey R. Slotten
• William Elbert Jennison
• Kaitlyn Jernigan, M.S., SLP-CFY
• Jet2Health N.E.M.T
• John B Draper DMD PA
• John L Gaines Jr MD PA

• Personal Care Attendant in Palatka, FL
• Providers in Palatka, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.