LACY DANIELLE GULLEDGE ARNP NPI 1609387174

NPI Information

NPI: 1609387174
Provider Name: LACY DANIELLE GULLEDGE, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

PECOS Registration: Yes

Address:
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 244-0411
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Lacy Danielle Gulledge, ARNP is a gerontology nurse practitioner in Jacksonville, FL with 7 years of experience. Lacy Danielle Gulledge, ARNP NPI is 1609387174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

15255 MAX LEGGETT PKWY
JACKSONVILLE, FL
ZIP 32218-273
Phone: (904) 244-0411

The NPI 1609387174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2017 and was last updated on 1/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	ARNP9429348	FLORIDA	No
2	363LG0600X	Nurse Practitioner	Gerontology	ARNP9429348	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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