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

Individual provider Physician Assistant · NPI 1033889175

Mrs. Danielle Nicole Jividen, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2021, 5 years ago. Practices with Gastroenterology Associates of Southwest Florida LLC, a 61-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone: (239) 343-2052
Fax: (239) 343-5848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 323 Del Prado Blvd S, Cape Coral, FL 33990-1747 — (239) 574-3382
  • 13861 Plantation Rd, Fort Myers, FL 33912-4342 — (392) 225-1306

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115006 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1033889175
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2021
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Gastroenterology Associates Of Southwest Florida Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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