Jessica Eastman, ARNP, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Parrish, FL
NPI 1770935652 · NPPES record last updated Jul 5, 2016
Key facts
- NPI
- 1770935652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- ARNP9222499 (FL)
- Practice address
- 8425 US Highway 301 N
Parrish, FL 34219-8672 - Phone
- (941) 723-7877
- Fax
- (941) 723-7844
- NPI assigned
- Jul 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9222499 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellenton Pediatrics PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9222499 | FL | Yes |
Addresses
Primary practice location
8425 US Highway 301 N
Parrish, FL 34219-8672
Mailing address
8425 US Highway 301 N
Parrish, FL 34219-8672
Phone (941) 723-7877
Other providers in Parrish, FL
- Melissa Beth Dressler
- Cassie Duffy
- Dwayne Dunkerson
- Nelson Hernando Duran
- Nickolas A Dwyer
- Ethan Frederick Effinger
- Ellenton Discount Pharmacy LLC
- Ellenton Discount Pharmacy LLC
- Gregory Donald Elliott
- Sarah Emmons
All providers in Parrish, FL · Pediatric Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.