Jennifer Ellen Faccioli, ARNP

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

1756682 Issued in FL

Practice address

1425 Creech Rd
Naples, FL 34103-4207

Phone

(239) 262-8923

NPI assigned

Mar 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1891019063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 107TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081858",
            "telephone_number": "239-248-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 CREECH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034207",
            "telephone_number": "239-262-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCIOLI",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "FL",
            "license": "1756682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034947000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P63440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Physicians and Surgeons of Florida
• Eyeglass World
• Eyemart Express LLC
• Karen Moss Ezrine, M.D.
• Jeffrey E Fabacher, M.D.
• Suzette Facey
• Faculty Associates, Inc
• Madisyn Ryann Facundo
• Susan Elizabeth Fagan-Bethea, M.S., SLP
• Amy Beth Fagan, R.PH., J.D.

• Women's Health Clinical Nurse Specialist in Naples, FL
• Providers in Naples, FL by specialty
• Women's Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.