Individual Healthcare Provider
Jamie C Jennings, CPNP-AC
Provider's NPPES record last updated: August 14, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053788752
- Primary Specialty
- Nurse Practitioner — Pediatrics, Critical Care
- Practice Location
- North Port, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:49 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics, Critical Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0222X Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- APRN11006919
- Nurse Practitioner (Ohio)
- APRN.CNP.17926
- Nurse Practitioner (Ohio)
- APRN.CNP.17926
Practice Locations
Practice Location
3149 Bobcat Village Rd
3149 Bobcat Village Rd
North Port, Florida 34288
Phone: (727) 767-4741
Record Information
- Enumeration Date
- August 28, 2015
- Provider's NPPES Record Last Updated
- August 14, 2025
- Certification Date
- August 11, 2025
- NPISignal NPPES Dataset
- August 2026
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