Provider Demographics
NPI:1942948591
Name:CURRIE, JACI
Entity type:Individual
Prefix:
First Name:JACI
Middle Name:
Last Name:CURRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 CROSSPOINTE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-0945
Mailing Address - Country:US
Mailing Address - Phone:239-784-2297
Mailing Address - Fax:
Practice Address - Street 1:1045 CROSSPOINTE DR STE 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-0945
Practice Address - Country:US
Practice Address - Phone:239-784-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV811154363LP0808X
FLAPRN11033764363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health