Active NPI
Jessica Harrell
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1578476131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11035414
- Practice address
- 1160 Cypress Glen Cir
Kissimmee, FL 34741-7560 - Phone
- (407) 518-1074
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11035414 | FL | Primary |
Addresses
Primary practice location
1160 Cypress Glen Cir
Kissimmee, FL 34741-7560
Mailing address
5801 Postal Road
P.O.Box 818018
Cleveland, OH 44181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1578476131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 POSTAL ROAD",
"address_2": "P.O.BOX 818018",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 CYPRESS GLEN CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417560",
"telephone_number": "407-518-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11035414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.