MEDICARE: JAMIE BRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F12250290	FL

General Provider Information

NPI Number	:	1568327906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE BRIGHT

Provider Business Mailing Address
First Line	:	1611 6TH AVE N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-2405
Country	:	US
Telephone Number	:	908-581-9033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 6TH AVE N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-2405
Country	:	US
Telephone Number	:	908-581-9033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ JAMIE BRIGHT ” Practice Location

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