Individual provider Active NPI

Deborah O Jennings, FNP

  • Family Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1831423797
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9466101 Issued in FL
Practice address
1303 Jasmine St Ste 101
Fernandina Beach, FL 32034-2991
Phone
(904) 775-4342
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9466101 FL Primary

Addresses

Primary practice location

1303 Jasmine St Ste 101
Fernandina Beach, FL 32034-2991

Mailing address

1303 Jasmine St Ste 101
Fernandina Beach, FL 32034-2991
Phone (904) 775-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001627 VA Practitioner - Nurse Practitioner 5890989628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9466101FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Kleiman MD PC CurrentSince Mar 7, 2017 Accepting new patients
Integrated Medical Services PLC Past Accepting new patients

Locations

900 London Blvd
Portsmouth, VA 23704
Phone (757) 393-6864

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1831423797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 JASMINE ST STE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342991",
            "telephone_number": "904-775-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 JASMINE ST STE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342991",
            "telephone_number": "904-775-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DEBORAH",
        "middle_name": "O",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9466101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.