ERICA SELF ARNP NPI 1518215805

NPI Information

NPI: 1518215805
Provider Name: ERICA SELF, ARNP
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1539 PARENTAL HOME RD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 338-0434
Get Directions

Erica Self, ARNP is a pediatrics clinical nurse specialist in Jacksonville, FL. Erica Self, ARNP NPI is 1518215805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1539 PARENTAL HOME RD
JACKSONVILLE, FL
ZIP 32216-009
Phone: (904) 338-0434
Fax: (904) 425-0821

The enumeration date for this NPI number is 8/17/2012 and was last updated on 8/17/2012.

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	364SP0200X	Clinical Nurse Specialist	Pediatrics	ARNP1852302	FLORIDA	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	ARNP1852302	OTHER	FLORIDA	MEDICAL LICENSE

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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