MS. DAWN MARIE AYCOCK APRN-C NPI 1962772103

NPI Information

NPI: 1962772103
Provider Name: MS. DAWN MARIE AYCOCK, APRN-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
520 NE 542ND ST
OLD TOWN, FL
ZIP 32680
Phone: (863) 537-0644
Get Directions

MS. Dawn Marie Aycock, APRN-C is a primary care nurse practitioner in Old Town, FL. MS. Dawn Marie Aycock, APRN-C NPI is 1962772103. 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:

520 NE 542ND ST
OLD TOWN, FL
ZIP 32680-818
Phone: (863) 537-0644

The NPI 1962772103 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 1/5/2012 and was last updated on 7/17/2019.

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	ARNP3191812	FLORIDA	No
2	363LP2300X	Nurse Practitioner	Primary Care	APRN3191812	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	004615000	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: 11/14/2023

NPI Synchronization or Removal

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