| Melissa Jenkins, | |
| 1111 Drury Ln, Englewood, FL 34224-4545 | |
| (313) 806-2619 | |
| Not Available | 
| Full Name | Melissa Jenkins | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 1111 Drury Ln, Englewood, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164157228 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN11019403 (Florida) | Primary | 
| Entity Name | Axel Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578968749 PECOS PAC ID: 2062737885 Enrollment ID: O20150218001840 | 
| Entity Name | Monogram Health Professional Services Of Florida Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538883111 PECOS PAC ID: 0244608149 Enrollment ID: O20221128001413 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Melissa Jenkins, 21560 Kenyon Ave, Port Charlotte, FL 33952-6824 Ph: (313) 806-2619 | Melissa Jenkins, 1111 Drury Ln, Englewood, FL 34224-4545 Ph: (313) 806-2619 | 
| Tiffany Kristine Lamarca, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Englewood Rd Ste 5, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
| Tina Marie Reynolds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 Fax: 941-841-4201 | |
| Monic Menard, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2061 Englewood Rd, Suite 4, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
| Devon Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-548-1716 | |
| Amanda Mariah Munden,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 | |
| Mrs. Christiana Sipper Casanova, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Dr, Englewood, FL 34223 Phone: 941-280-0499 Fax: 941-340-0601 |