Individual provider Active NPI

Jowell Monroe Hearn IV, RN RNFA

  • Registered Nurse First Assistant
  • Brooksville, FL
National Provider Identifier
1699281881
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
3288952 Issued in FL
Practice address
17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone
(352) 544-6015
Fax
(352) 754-3282
NPI assigned
Dec 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 3288952 FL Primary

Addresses

Primary practice location

17240 Cortez Blvd
Brooksville, FL 34601-8921

Mailing address

922 Cedar Dr
Brooksville, FL 34601-2213
Phone (352) 232-0089

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
3288952FLMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1514160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1699281881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 CEDAR DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012213",
            "telephone_number": "352-232-0089",
            "fax_number": "352-754-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018921",
            "telephone_number": "352-544-6015",
            "fax_number": "352-754-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "JOWELL",
        "middle_name": "MONROE",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "RN RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-25",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "3288952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.