Individual provider Active NPI

Jessica Bowden, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1487341285
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025606 Issued in FL
Practice address
5178 Lake Isabel CT
Jacksonville, FL 32218-7585
Phone
(904) 566-9393
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11025606 FL Primary

Addresses

Primary practice location

5178 Lake Isabel CT
Jacksonville, FL 32218-7585

Mailing address

5178 Lake Isabel CT
Jacksonville, FL 32218-7585
Phone (904) 566-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000394 FL Practitioner - Nurse Practitioner 6901266329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians

Practice addresses (Care Compare)

4540 Southside Blvd
Suite 401
Jacksonville, FL 32216-5488
Phone (904) 567-5338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11025606FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Jun 12, 2023 Accepting new patients
Dover Shores Family Practice CurrentSince Apr 1, 2025 Accepting new patients
Kapsule CurrentSince Dec 8, 2024 Accepting new patients
Primary Care Specialists of Orlando LLC Current Accepting new patients
WT Health of Florida LLC PastSince Dec 21, 2025 Accepting new patients
Traditions Family Medicine, LLC PastSince Oct 31, 2021 Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

4540 Southside Blvd
Ste 401
Jacksonville, FL 32216
Phone (904) 566-9256

3800 W Eau Gallie Blvd
Ste 105
Melbourne, FL 32934
Phone (321) 323-3618

4711 Curry Ford Rd
Ste B
Orlando, FL 32812
Phone (407) 275-6810

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

100 Whetstone Pl
Ste 208
St Augustine, FL 32086
Phone (904) 447-7377

Interoperability endpoints

  • Direct secure messaging: jessica.bowden.1@31553.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1487341285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 LAKE ISABEL CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187585",
            "telephone_number": "904-566-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5178 LAKE ISABEL CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187585",
            "telephone_number": "904-566-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.