CORNERSTONE OF JACKSONVILLE INC. NPI 1750039400

NPI Information

  • NPI: 1750039400
  • Provider Name: CORNERSTONE OF JACKSONVILLE, INC.
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Address: 9039 BEACH BLVD
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 730-5500

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NPI Details

CORNERSTONE OF JACKSONVILLE, INC. is a student health clinic center in Jacksonville, FL. CORNERSTONE OF JACKSONVILLE, INC. NPI is 1750039400. The provider is registered as an organization entity type.

The provider's business location address is:

9039 BEACH BLVD
JACKSONVILLE, FL
ZIP 32216-624
Phone: (904) 730-5500

The provider's authorized official is Donald Corley .
The authorized official title is Admin and has the following contact phone number (904) 730-5500.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 3/11/2022.

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
1261QS1000XClinic/CenterStudent HealthYes

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
190395366OTHERSCHOOL

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: 3/30/2025

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