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

Jennifer Lynn North

Individual provider Acute Care Nurse Practitioner · NPI 1205103884

Jennifer Lynn North is a Nurse Practitioner in Melbourne, Florida. Qualified in 2011, 15 years ago. Practices with Shadetree Dermatology LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

2120 Sarno Rd
Melbourne, FL 32935-3084
Phone: (321) 241-6800
Fax: (321) 241-6890
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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 APRN9268450 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence ARNP9268450 (FL)

Record details

NPI number1205103884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2011
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Shadetree Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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