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

Jenessy Gonzalez

Individual provider Acute Care Nurse Practitioner · NPI 1811569627

Jenessy Gonzalez is a Nurse Practitioner in Hollywood, Florida. Qualified in 2020, 6 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

1150 N 35th Ave Ste 660
Hollywood, FL 33021-5471
Phone: (954) 265-1125
Fax: (954) 985-5578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N Flamingo Rd Ste 316, Pembroke Pines, FL 33028-1015 — (954) 844-2320

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11009792 (FL)

Record details

NPI number1811569627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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