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

Jeanne Marie Dyckman, AGACNP-BC

Individual provider Registered Nurse · NPI 1487270971

Jeanne Marie Dyckman, AGACNP-BC is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2019, 7 years ago. Practices with Wound Care Physicians of Tampa Bay LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

12471 McGregor Blvd Apt 9
Fort Myers, FL 33919-3155
Phone: (239) 213-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11008805 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9272229 (FL)

Record details

NPI number1487270971
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wound Care Physicians Of Tampa Bay Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Myers