PARTHENON MEDICAL PLLC NPI 1285117549

NPI Information

NPI: 1285117549
Provider Name: PARTHENON MEDICAL PLLC
Classification: Nurse Practitioner - 363LP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 10D2016818
Address: 5105 BOWDEN RD STE 3
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 660-7896

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NPI Details

PARTHENON MEDICAL PLLC is a primary care nurse practitioner in Jacksonville, FL. PARTHENON MEDICAL PLLC NPI is 1285117549. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5105 BOWDEN RD STE 3
JACKSONVILLE, FL
ZIP 32216-907
Phone: (904) 660-7896
Fax: (904) 212-2227

The provider's authorized official is Philip Carnevale .
The authorized official title is Nurse Practitioner and has the following contact phone number (904) 609-3349.

The CLIA number assigned to this NPI record is 10D2016818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 1/9/2024.

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	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
2	207LA0401X	Anesthesiology	Addiction Medicine	No
3	207QA0401X	Family Medicine	Addiction Medicine	No
4	207R00000X	Internal Medicine		No
5	208000000X	Pediatrics		No
6	2083A0300X	Preventive Medicine	Addiction Medicine	No
7	261QU0200X	Clinic/Center	Urgent Care	No
8	363LP0200X	Nurse Practitioner	Pediatrics	No
9	363LP2300X	Nurse Practitioner	Primary Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101879200	MEDICAID	FLORIDA

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: 11/21/2025

NPI Synchronization or Removal

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