Provider Demographics
NPI:1073330718
Name:MONROE, JAMEKA RACHELLE (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:
First Name:JAMEKA
Middle Name:RACHELLE
Last Name:MONROE
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25660 NW 8TH RD
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-3397
Mailing Address - Country:US
Mailing Address - Phone:904-626-4709
Mailing Address - Fax:
Practice Address - Street 1:25660 NW 8TH RD
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-3397
Practice Address - Country:US
Practice Address - Phone:904-626-4709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily