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Denise Jacks, ARNP

Adult Health Nurse Practitioner in Port Orange, FL · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104136738

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Registry record

Entity type Individual (Type 1)
Name Denise Jacks
Credential ARNP
Sex Female
Practice address 3691 Clyde Morris Blvd, Port Orange, FL, 32129
Phone (386) 675-4411
Fax (866) 542-5859
Enumeration date Oct 17, 2010
Last updated in NPPES Jan 16, 2025

Taxonomy & licenses

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 3017972 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Denise Jacks?
The National Provider Identifier (NPI) for Denise Jacks is 1104136738, a Type 1 (individual) record in the CMS NPPES registry.
Where does Denise Jacks practice?
The practice location on file with NPPES is in Port Orange, FL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-16.