Denise Jacks, ARNP

NPI: 1104136738

Denise Jacks, ARNP

Q: What is Denise Jacks's NPI number?

Denise Jacks's NPI number is 1104136738, a unique 10-digit identifier issued by CMS.

Q: What does Denise Jacks specialize in?

Denise Jacks specializes in Nurse Practitioner, taxonomy code 363LA2200X.

Q: Where does Denise Jacks practice?

Denise Jacks practices in Port Orange, FL 32129-2317.

Q: When was Denise Jacks's NPI issued?

Denise Jacks's NPI was issued on October 17, 2010.

Q: What is Denise Jacks's provider type?

Denise Jacks is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: October 17, 2010

Quick Facts

NPI Number

1104136738

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LA2200X — Nurse Practitioner

Phone

(386) 675-4411

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104136738)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 17, 2010)

Data source: CMS NPPES

Provider Overview

DENISE JACKS, ARNP is a Nurse Practitioner provider based in Port Orange, FL who has been registered with CMS since 2010. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104136738

Provider TypeIndividual Provider

GenderFemale

CredentialARNP

StatusActive

Enumeration DateOctober 17, 2010

Practice Location

CityPort Orange

StateFL

ZIP Code32129-2317

Phone(386) 675-4411

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LA2200X

License StateFL

Mailing Address

CityPort Orange

StateFL

ZIP Code32129-2317

Phone(386) 675-4411

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104136738 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104136738for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104136738 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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