| Jennifer Jo Whitehead, FNP-C | |
| 
					6950 Outreach Way, North Port, FL 34287-3405  | |
| (941) 529-0200 | |
| (955) 212-2460 | 
| Full Name | Jennifer Jo Whitehead | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6950 Outreach Way, North Port, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942933049 | NPI | - | NPPES | 
| NONE | Other | NONE | |
| NA | Other | NA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9520298 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN11020985 (Florida) | Primary | 
| Entity Name | Centerplace Health, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104316272 PECOS PAC ID: 4587912860 Enrollment ID: O20181121002527  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Jo Whitehead, FNP-C 6950 Outreach Way, North Port, FL 34287-3405 Ph: (941) 529-0200  | Jennifer Jo Whitehead, FNP-C 6950 Outreach Way, North Port, FL 34287-3405 Ph: (941) 529-0200  | 
Jennie Schroeder, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3149 Bobcat Village Center Rd, North Port, FL 34288 Phone: 941-266-5629  | |
Mrs. Denise K Costa, FAMILY NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2560 Commerce Pkwy, North Port, FL 34289 Phone: 941-429-3545  | |
Howard Pinsky, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12450 Tamiami Trail, Suite E, North Port, FL 34287 Phone: 941-257-4763 Fax: 941-257-4766  | |
Jamie C Jennings, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3149 Bobcat Village Rd, 3149 Bobcat Village Rd, North Port, FL 34288 Phone: 727-767-4741 Fax: 727-767-2596  | |
Anne K Wharton, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1256 Lindsay Ave, North Port, FL 34286 Phone: 941-201-8659  | |
Miss Lynne M Lacey Crandall, MS, CNS, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13815 Tamiami Trl, North Port Medical Center, North Port, FL 34287 Phone: 941-426-4900 Fax: 941-426-3994  | |
Jennifer L Jones, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6950 Outreach Way, North Port, FL 34287 Phone: 941-861-2900 Fax: 941-861-2869  |