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

Jessica R Pericles

Individual provider Family Nurse Practitioner · NPI 1215603972

Jessica R Pericles is a Nurse Practitioner in Lake Worth, Florida. Qualified in 2023, 3 years ago. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

7859 Lake Worth Rd
Lake Worth, FL 33467-3225
Phone: (954) 394-0350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11014881 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11014881 (FL)

Record details

NPI number1215603972
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2021
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address7859 Lake Worth Rd, Lake Worth, FL 33467-3225

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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