Judith Mills Nelson in Jacksonville - Physician Assistant
Judith Mills Nelson - NPI 1760405567
Judith Mills Nelson is a Physician Assistant in Jacksonville, Florida. Judith Mills Nelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Judith Mills Nelson is 1760405567. The last update date is 2016-01-07.
Judith Mills Nelson's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043990350 and fax number 9043995914. The mailing address for Judith Mills Nelson is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Mills Nelson |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9043990350 |
| Fax Number | 9043995914 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1760405567 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2016-01-07 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231627 |
| Phone Number | 9043990350 |
| Fax Number | 9043995914 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1519 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292104900 | FL | -- |
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What is the unique identifier code issued to Judith Mills Nelson by the Centers for Medicare & Medicaid Services?
The Judith Mills Nelson has been assigned the NPI (National Provider Identifier) 1760405567. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Judith Mills Nelson by the Centers for Medicare & Medicaid Services?
The Judith Mills Nelson has been assigned the NPI (National Provider Identifier) 1760405567 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Judith Mills Nelson is physically located?
The Judith Mills Nelson is situated at the following address: 11945 San Jose Blvd, Jacksonville, FL 322231627.
On what date was the 1760405567 assigned to Judith Mills Nelson?
The Judith Mills Nelson was issued its 1760405567 on 2006-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Judith Mills Nelson most recently updated?
The details pertaining to the Judith Mills Nelson, including its address, specialty, and other relevant information, were last refreshed on 2016-01-07.
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