Healthcare Provider Details

I. General information

NPI: 1154782605
Provider Name (Legal Business Name): TEMPESTT Z. JONES-LEE DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2016
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 EAGLE HARBOR PKWY
FLEMING ISLAND FL
32003
US

IV. Provider business mailing address

636 GLENNEYRE CIR
SAINT AUGUSTINE FL
32092-1232
US

V. Phone/Fax

Practice location:
  • Phone: 904-541-3055
  • Fax:
Mailing address:
  • Phone: 973-534-9784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001232065
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173075
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9482975
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: