Provider Demographics
NPI:1316485592
Name:PATEL, JIGARKUMAR NAVINCHANDRA (ARNP)
Entity type:Individual
Prefix:
First Name:JIGARKUMAR
Middle Name:NAVINCHANDRA
Last Name:PATEL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 BERNWOOD COVE LOOP APT 107
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-8144
Mailing Address - Country:US
Mailing Address - Phone:239-738-9885
Mailing Address - Fax:
Practice Address - Street 1:8555 BERNWOOD COVE LOOP APT 107
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-8144
Practice Address - Country:US
Practice Address - Phone:239-738-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9340591163W00000X
FLARNP9340591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse