Active NPI
Jardine Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- JARDINE WELLNESS LLC
- Doing business as
- Jardine Wellness LLC
- Practice address
- 333 3Rd Ave N Ste 400
St Petersburg, FL 33701-3899 - Phone
- (727) 241-5504
- NPI assigned
- Dec 9, 2021
- Last updated
- Jul 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaclyn Jardine, APN
- Title
- Provider
- Phone
- (727) 241-5504
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
333 3Rd Ave N Ste 400
St Petersburg, FL 33701-3899
Mailing address
333 3Rd Ave N Ste 400
St Petersburg, FL 33701-3899
Phone (727) 241-5504
Other practice location 1
9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Phone (727) 241-5504
Other names 1
- Jardine Wellness LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1548929334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 3RD AVE N STE 400",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013899",
"telephone_number": "727-241-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 3RD AVE N STE 400",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013899",
"telephone_number": "727-241-5504"
}
],
"practiceLocations": [
{
"address_1": "9620 NE Tanasbourne Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971247844",
"country_code": "US",
"telephone_number": "727-241-5504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JARDINE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-09",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "JARDINE",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "727-241-5504",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jardine Wellness LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.