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NPI Code Detail

MEDICARE: HANNAH JO JAKELSKY CRNP

MEDICARE:   HANNAH JO JAKELSKY  CRNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCRNP-1-139682AL

General Provider Information

NPI Number : 1588451637
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH JO JAKELSKY CRNP
Provider Business Mailing Address
First Line : 4310 METRO PKWY STE 205
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9416
Country : US
Telephone Number : 757-606-1377
Fax Number :
Provider Business Practice Location Address
First Line : 1672 COLUMBIA HWY
Second Line :
City : DOTHAN
State : AL
Zip : 36303-5434
Country : US
Telephone Number : 334-791-1622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2025
Last Update Date : 05/12/2026

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