Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Jacks, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1104136738

Denise Jacks, ARNP is an Adult Health Nurse Practitioner in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

3691 Clyde Morris Blvd
Port Orange, FL 32129-2317
Phone: (386) 675-4411
Fax: (866) 542-5859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 3017972 (FL)

Record details

NPI number1104136738
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 17, 2010
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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