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JURRY OM FNP
NPI 1053969014
Nurse Practitioner - Family in Melbourne, FL

Active since September 03, 2019
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935(321) 727-3223 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Sep 5, 2019 (2 updates tracked since 2019).

About Jurry Om Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JURRY OM FNP (NPI 1053969014) is an individual family provider in Melbourne, Florida, licensed in Florida (11032788) and active in the NPI registry since September 2019. She maintains a secondary practice location in Lone Tree.

NPPES Registry Identity

NPI1053969014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJURRY OMCredential: FNP
Location Address707 W EAU GALLIE BLVDMelbourne, FL 32935-5958
Mailing Address8880 Napolo DrMelbourne, FL 32940-7499 · (303) 501-2800
Phone(321) 727-3223
Sole ProprietorNo
Enumeration DateSeptember 3, 2019
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1053969014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · 11032788✔ Licensed in FL · MO9002990✔ Licensed in CO · APN.0994708-NP
707 W EAU GALLIE BLVD, Melbourne, FL 32935
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Secondary Practice Location 1

Location 19695 S Yosemite St Ste 324Lone Tree, CO 80124-2890 · Phone (303) 706-9054

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER L HESS M.D.
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
BERMAX II LLC
Plastic Surgery (Plastic Surgery Within the Head and Neck)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
JOHN VARNER DDS, MD
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
AMY M SIMON MD
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
DR. ROSS A CLEVENS MD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
BRIAN WAYNE BENSON PA-C
Physician Assistant (Surgical)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
SAMIRA CARABALLO
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
DERIC D THOMSON MD, DMD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (322) 727-3223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jurry Om's NPI number?

The NPI number for Jurry Om is 1053969014. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Jurry Om located?

Jurry Om practices at 707 W Eau Gallie Blvd, Melbourne, FL 32935. The listed phone number is (321) 727-3223.

What is Jurry Om's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jurry Om was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.