NICOLE MARIE BUZARD


Address: 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337
Phone: 9043980033

NICOLE MARIE BUZARD (NPI# 1194249706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194249706
Entity Type Individual
Full Name NICOLE MARIE BUZARD
Credential PA-C
Practice Address 836 Prudential Dr Ste 1001
Jacksonville
FL 32207-8337
Mailing Address 11945 San Jose Blvd Ste 300
Jacksonville
FL 32223-1627
Practice Telephone 9043980033
Practice Fax Number 9043986774
Mailing Telephone 9043961725
Mailing Fax Number 9043964893
Enumeration Date 2017-07-26
Last Update Date 2020-02-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 9110819 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
13990 Bartram Park Blvd Unit 1318, Jacksonville, FL 322585555 (570) 994-6081
1361 13th Ave S Ste 150, Jacksonville, FL 322503235 9042427177

Office Location

Street Address 836 PRUDENTIAL DR STE 1001
City JACKSONVILLE
State FL
Zip Code 32207-8337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316489859 Kasey Maxine Colborne Physician Assistant 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337 2016-11-15
1346848173 Marisa Elaine Long Physician Assistant 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337 2020-10-14
1164072294 David Scott Currie Jr. Physician Assistant 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337 2019-09-20
1851814578 Karlie F Lotz Physician Assistant 836 Prudential Dr Ste 1001, Jacksonville, FL 32207 2017-07-25

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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