Jessica Maitre, DNP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11020665 Issued in FL

Practice address

12450 Brantley Commons Court
Fort Myers, FL 33907-5663

Phone

(239) 236-2412

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1467088153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 BRANTLEY COMMONS COURT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "239-236-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 BRANTLEY COMMONS COURT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "239-236-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITRE",
        "first_name": "JESSICA",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-03-20",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9338278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Maiers, M.D.
• Amanda A Maike
• David Paul Maile, LMT
• Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.a.
• Mainstream Physical Therapy LLC
• Major Impact Support Services, Inc
• Major Impact Supports Inc
• Major Impact, Inc.
• Major Impact, Inc.
• Clayton Lambert Major Sr., MS

• 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 Mar 20, 2024; 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.