MR. JAMES MARTIN DUROSS IV (NPI# 1023578895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023578895 |
| Entity Type | Individual |
| Full Name | MR. JAMES MARTIN DUROSS IV |
| Credential | APRN |
| Practice Address |
1325 San Marco Blvd Ste 200 Jacksonville FL 32207-8566 |
| Mailing Address |
Po Box 117345 Atlanta GA 30368-7345 |
| Practice Telephone | 9043463465 |
| Practice Fax Number | 9043960388 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586489 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11002128 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | SP020029 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1325 SAN MARCO BLVD STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252655 | Steven Mccarthy Crenshaw | Orthopaedic Surgery | 1325 San Marco Blvd Ste 200, Credentialing Department, Jacksonville, FL 32207-8566 | 2005-06-01 |
| 1992355887 | Zachary Cole White | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-09-12 |
| 1649825639 | Tristyn Kinser | Specialist/Technologist | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-08-06 |
| 1194379578 | Cesar Enrique Roman-negron | Specialist/Technologist | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-07-24 |
| 1457819146 | Justin T Juelich | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-03-12 |
| 1629535307 | Courtney C Calcote | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-02-28 |
| 1003389925 | Savannah Faulk | Physical Therapist | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-01-03 |
| 1497223093 | Victoria C. Pursley | Nurse Practitioner | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2018-11-13 |
| 1679096424 | Kellie Marie Holloway | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2017-07-24 |
| 1376087064 | Megan Gilman | Nurse Practitioner | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786338 | Bernardo C Lobusta Jr. | Nurse Practitioner | 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 | 2020-09-26 |
| 1720695513 | Kristin Browning | Nurse Practitioner | 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 | 2020-09-25 |
| 1780295667 | Sharnice Letia White | Nurse Practitioner | 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 | 2020-08-13 |
| 1891305082 | Kayla Susan Weller | Nurse Practitioner | 4361 Gadsden Ct, Jacksonville, FL 32207-6218 | 2020-08-03 |
| 1952925315 | Michelle Benefield | Nurse Practitioner | 605 W Beaver St, Jacksonville, FL 32202-4722 | 2020-06-02 |
| 1831739887 | Melanie Bautista | Nurse Practitioner | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-01-07 |
| 1235776279 | Janine Mancusi | Nurse Practitioner | 417 Brody Cove Trl, Jacksonville, FL 32225-5113 | 2019-12-10 |
| 1114576881 | Delesa Gabrielle Bradley | Nurse Practitioner | 1602 S Jackson St, Jacksonville, TX 75766-3028 | 2019-09-05 |
| 1508411190 | Jaclyn Michelle Bowden | Nurse Practitioner | 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 | 2019-08-09 |
| 1386297414 | Rebecca Newell | Nurse Practitioner | 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 | 2019-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.