Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordyn Nicole Shoemaker, PA-C

Individual provider Physician Assistant · NPI 1407672629

Jordyn Nicole Shoemaker, PA-C is a Physician Assistant in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13470 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1850
Phone: (239) 415-7576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119636 (FL)

Record details

NPI number1407672629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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