MRS. JOY SUSAN PENDERGRASS FNPBC NPI 1639561160

NPI Information

NPI: 1639561160
Provider Name: MRS. JOY SUSAN PENDERGRASS, FNP,BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
536 SPANISH WAY W
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 310-9468
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MRS. Joy Susan Pendergrass, FNP,BC is a family nurse practitioner in Fernandina Beach, FL. MRS. Joy Susan Pendergrass, FNP,BC NPI is 1639561160. 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:

536 SPANISH WAY W
FERNANDINA BEACH, FL
ZIP 32034-244
Phone: (904) 310-9468

The enumeration date for this NPI number is 2/20/2015 and was last updated on 2/20/2015.

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	363LF0000X	Nurse Practitioner	Family	9364981	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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