Basic Information
| Provider Information | |||||||||
| NPI: | 1598073272 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NURSEFINDERS OF JACKSONVILLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3728 PHILLIPS HWY STE 12 | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322076840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043460500 | ||||||||
| FaxNumber: | 9043460196 | ||||||||
| Practice Location | |||||||||
| Address1: | 3728 PHILLIPS HWY STE 12 | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322076840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043460500 | ||||||||
| FaxNumber: | 9043460196 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2010 | ||||||||
| LastUpdateDate: | 09/16/2010 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | CODIE | ||||||||
| AuthorizedOfficialMiddleName: | LYNN | ||||||||
| AuthorizedOfficialTitleorPosition: | BRANCH DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9043460500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 299993708 | FL | Y | Agencies | Home Health |
No ID Information.