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

Mr. Jack Facundus, ARNP

Individual provider Family Nurse Practitioner · NPI 1376092809

Mr. Jack Facundus, ARNP is a Nurse Practitioner in Longwood, Florida. Qualified in 2007, 19 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida and New Hampshire.

Years since qualifying
19
Licensed in
FL, NH
In the registry since
2016
Specialties on file
3
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

651 W Warren Ave Ste 100
Longwood, FL 32750-4036
Phone: (321) 999-9617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 919 E 2nd St, Sanford, FL 32771 — (407) 875-3700
  • 1650 Berkshire Ave, Winter Park, FL 32789-5403 — (407) 760-9605
  • 24 Railroad St, Keene, NH 03431-3744 — (603) 354-5400
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-5000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN2824142 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP2824142 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 090740-23 (NH)

Record details

NPI number1376092809
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorYes
NPI enumeratedSeptember 26, 2016
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address5151 Adanson St, Orlando, FL 32804-1317

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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