Unknown Individual – Adult Health Nurse Practitioner, NPI 1518488477
Adult Health Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4085 University Blvd S Ste 3
Jacksonville, FL 322164362
Phone: (904) 217-7450
Type: Location
PO BOX 3123
ST AUGUSTINE, FL 320853123
Phone:
Type: Mailing
100 WHETSTONE PL
ST AUGUSTINE, FL 320865774
Phone: (904) 217-7450
Fax: (904) 217-7483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL |
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