MISS AUDREY LEE JERNIGAN (NPI# 1053537035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053537035 |
| Entity Type | Individual |
| Full Name | MISS AUDREY LEE JERNIGAN |
| Credential | LMT |
| Practice Address |
212 San Marco Ave St Augustine FL 32084-2773 |
| Mailing Address |
54 Macaris St St Augustine FL 32084-2164 |
| Practice Telephone | 9043925399 |
| Practice Fax Number | 9048195851 |
| Mailing Telephone | 9043925399 |
| Mailing Fax Number | 9048195851 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35509 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245363688 | Audrey D. Jernigan | Physical Therapist | 301 Pineview Dr., Waycross, GA 31501 | 2007-03-14 |
| 1831552769 | Audrey Bell Jernigan | Internal Medicine | 417 N 11th St, Richmond, VA 23298 | 2016-03-29 |
| Street Address |
212 SAN MARCO AVE |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609993948 | James S Shore | Massage Therapist | 212 San Marco Ave, Ste C, St Augustine, FL 32084-2773 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158344 | Monica Mcnally | Specialist | 109 Hammock Cir, St Augustine, FL 32084-1754 | 2011-09-19 |
| 1619267671 | Ancient City Children's Therapy, LLC | Specialist | 367 Gianna Way, St Augustine, FL 32086-3858 | 2011-04-12 |
| 1700184892 | Johannie Garcia | Specialist | 910 S. Winterhawk Dr. # 107, St Augustine, FL 32086-3858 | 2011-03-14 |
| 1124291885 | Daniel Aaron Weinberg | Specialist | 200 San Sebastian Vw Ste 2102, St Augustine, FL 32084 | 2008-04-02 |
| 1013187574 | Debbie's Day Spa & Salon | Specialist | 403 Anastasia Blvd, St Augustine, FL 32080-4508 | 2008-03-11 |
| 1386868693 | Edward H Scarpitti | Specialist | 17 St Johns Medical Park Dr., St Augustine, FL 32086-4331 | 2007-04-11 |
| 1295870830 | Paul D Jayachandra M D P A | Specialist | 1680 Osceola Elementary School Road, Suite A, St Augustine, FL 32084 | 2007-02-21 |
| 1285608299 | Daniel A Warner | Specialist | 1100 Plantation Island Dr S Ste 230, St Augustine, FL 32080 | 2006-02-15 |
| 1285613315 | John Edward Prioleau | Specialist | 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | 2006-01-17 |
| 1750382487 | Paul W Hund IIi | Specialist | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2005-08-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on MISS AUDREY LEE JERNIGAN.
| 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.