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JADE CLINIC FAMILY AND WELLNESS CENTER CORP
NPI 1912587825
Nurse Practitioner - Family in Fort Myers, FL

Active since April 13, 2021
2665 CLEVELAND AVE STE 208, FORT MYERS, FL 33901(239) 839-1950(239) 236-1665 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jade Clinic Family And Wellness Center Corp NPPES

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

JADE CLINIC FAMILY AND WELLNESS CENTER CORP (NPI 1912587825) is a healthcare organization registered as a family in Fort Myers, Florida and active in the NPI registry since April 2021. The organization lists Teresa D Damera, Aprn, as its authorized official.

NPPES Registry Identity

NPI1912587825
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJADE CLINIC FAMILY AND WELLNESS CENTER CORP
Location Address2665 CLEVELAND AVE STE 208Fort Myers, FL 33901-5850
Mailing Address2665 Cleveland Ave Ste 208Fort Myers, FL 33901-5850 · (239) 839-1950 · Fax (239) 236-1665
Phone(239) 839-1950
Fax(239) 236-1665
Organization SubpartNo
Authorized OfficialTeresa D DameraAprn · (786) 475-0034
Enumeration DateApril 13, 2021
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1912587825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
2665 CLEVELAND AVE STE 208, Fort Myers, FL 33901
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Other Providers at the Same Location NPPES

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

TERESA DE JESUS DAMERA
Nurse Practitioner (Family)
2665 CLEVELAND AVE STE 208
FORT MYERS, FL 33901
Lee County (239) 839-1950

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 Jade Clinic Family And Wellness Center Corp's NPI number?

The NPI number for Jade Clinic Family And Wellness Center Corp is 1912587825. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Jade Clinic Family And Wellness Center Corp located?

Jade Clinic Family And Wellness Center Corp is located at 2665 Cleveland Ave Ste 208, Fort Myers, FL 33901. The listed phone number is (239) 839-1950.

What is Jade Clinic Family And Wellness Center Corp'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 Jade Clinic Family And Wellness Center Corp was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.