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

Jaclyn Lee Eastman

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073319018

Jaclyn Lee Eastman is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2025, 1 year ago. Practices with Mentus Behavioral Health LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

14099 Pine Lodge Ln
Fort Myers, FL 33913-9470
Phone: (774) 266-3419
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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 11037853 (FL)

Record details

NPI number1073319018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mentus Behavioral Health Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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