Unknown Individual – Registered Nurse, NPI 1629023171
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1528, Shearwater Drive, Biscayne Villas, Jacksonville, Duval County, Florida, 32218, United States
JACKSONVILLE, FL 322183438
Phone: (904) 710-2414
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32218)
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