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

Jennifer Rae Witt, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1629190731

Jennifer Rae Witt, CPNP is a Pediatric Nurse Practitioner in Port St Lucie, Florida. Works from 2 locations. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2007
Specialties on file
4
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

150 SW Chamber Ct Ste 101
Port St Lucie, FL 34986-3413
Phone: (772) 301-0123
Fax: (772) 301-0124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6025 Blakeney Park Drive, Charlotte, NC 28277-5704 — (704) 667-4480

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN11008019 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 0050-1620 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5001620 (NC)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 203964 (NC)

Record details

NPI number1629190731
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

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