IRENE GOMEZ APRN NPI 1861751026

NPI Information

  • NPI: 1861751026
  • Provider Name: IRENE GOMEZ, APRN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2624 ATLANTIC BLVD
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 513-3240

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NPI Details

Irene Gomez, APRN is a primary care nurse practitioner in Jacksonville, FL. Irene Gomez, APRN NPI is 1861751026. 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:

2624 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32207-609
Phone: (904) 513-3240
Fax: (904) 398-7871

The NPI 1861751026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2012 and was last updated on 10/18/2023.

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
1363LP2300XNurse PractitionerPrimary CareAPRN11028156FLORIDAYes
2164W00000XLicensed Practical Nurse303828-1NEW YORKNo

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

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