Marie Jauna Mesidor, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9259054 Issued in FL

Practice address

19620 Villa Rosa Loop
Fort Myers, FL 33967-5713

Phone

(239) 249-1602

NPI assigned

Jan 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1790174571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 VILLA ROSA LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675713",
            "telephone_number": "239-249-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19620 VILLA ROSA LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675713",
            "telephone_number": "239-249-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIDOR",
        "first_name": "MARIE",
        "middle_name": "JAUNA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9259054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Susan Merritt, ED M, LMHC
• McKenzie Merritt, DO
• Ruthanne Merritt, ARNP
• Dina Mesa Gamez
• Stanie Mesamour
• Jean Mesmer, RPH
• Kent Messer, DC
• Melinda Messina, LMHC
• Erin M. Messinger, CCC-SLP
• Shannon Messner, LCSW

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.