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

Jeaniacieuse Theodore

Individual provider Family Nurse Practitioner · NPI 1285450155

Jeaniacieuse Theodore is a Nurse Practitioner in Port Saint Lucie, Florida. Qualified in 2024, 2 years ago. Practices with Higher Calling Health Care LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

1801 SE Hillmoor Dr Ste C104C103
Port Saint Lucie, FL 34952-7553
Phone: (772) 742-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11036138 (FL)

Record details

NPI number1285450155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Higher Calling Health Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Saint Lucie