ST. VINCENT'S HEALTHCARE NPI 1811246390

NPI Information

NPI: 1811246390
Provider Name: ST. VINCENT'S HEALTHCARE
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

CLIA Number: 10D2047172

Address:
3 SHIRCLIFF WAY STE 714
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-2006
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ST. VINCENT'S HEALTHCARE is an acute care nurse practitioner in Jacksonville, FL. ST. VINCENT'S HEALTHCARE NPI is 1811246390. The provider is registered as an organization entity type.

The provider's business location address is:

3 SHIRCLIFF WAY STE 714
JACKSONVILLE, FL
ZIP 32204-786
Phone: (904) 308-2006

The provider's authorized official is George Ann Allen .
The authorized official title is Credentialing Coordinator and has the following contact phone number (904) 296-5690.

The CLIA number assigned to this NPI record is 10D2047172 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 8/30/2012.

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	282N00000X	General Acute Care Hospital		214209	NORTH CAROLINA	No
2	363LA2100X	Nurse Practitioner	Acute Care	214209	NORTH CAROLINA	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

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