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

Gardine Jacques, ARNP

Individual provider Nurse Practitioner · NPI 1720357023

Gardine Jacques, ARNP is a Nurse Practitioner in Orlando, Florida. Qualified in 2011, 15 years ago. Practices with Mellow Medical Inc a Professional Corporation, a 30-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

7727 Lake Underhill Rd Glycemic Managment Ofc
Orlando, FL 32822-8224
Phone: (407) 303-6749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9205667 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9205667 (FL)

Record details

NPI number1720357023
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedDecember 15, 2011
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address2415 N Orange Ave Ste 501, Florida Hospital Glycemic Management, Orlando, FL 32804-5505

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mellow Medical Inc A Professional Corporation — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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