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

Jenifer Derstine, ARNP

Individual provider Family Nurse Practitioner · NPI 1386999670

Jenifer Derstine, ARNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
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

5238-16 Norwood Ave
Jacksonville, FL 32208-5005
Phone: (904) 861-1222
Fax: (904) 861-2688
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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 ARNP9203769 (FL)

Record details

NPI number1386999670
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedJuly 23, 2012
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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