Active NPI
Deborah O Jennings, FNP
- Family Nurse Practitioner
- Fernandina Beach, FL
National Provider Identifier
1831423797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9466101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9466101 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce J Kleiman MD PC | Current | 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.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1043524333
-
- Specialist
- Virginia Beach, VA
- NPI 1770596306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.