Active NPI
Jayne Nicole Jaramillo, MSN, CCNS, RN
- Acute Care Clinical Nurse Specialist
- Jacksonville, FL
National Provider Identifier
1679032403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- ARNP9248589
- Practice address
- 800 Prudential Dr
Jacksonville, FL 32207-8202 - Phone
- (904) 202-2000
- NPI assigned
- Mar 19, 2019
- Last updated
- Mar 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | ARNP9248589 | FL | Primary |
| Emergency Registered Nurse | 163WE0003X | 9248589 | FL |
Addresses
Primary practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Mailing address
1609 Avondale Ave
Jacksonville, FL 32205-8509
Other practice location 1
3015 Carrington Mill Blvd
Morrisville, NC 27560-5437
Phone (919) 544-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9248589 | FL | MD | Emergency Registered Nurse |
| ARNP9248589 | FL | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1679032403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 AVONDALE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078202",
"telephone_number": "904-202-2000"
}
],
"practiceLocations": [
{
"address_1": "3015 Carrington Mill Blvd",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "NC",
"postal_code": "275605437",
"country_code": "US",
"telephone_number": "919-544-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARAMILLO",
"first_name": "JAYNE",
"middle_name": "NICOLE",
"credential": "MSN, CCNS, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "FL",
"license": "ARNP9248589",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "FL",
"license": "9248589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.