VANESSA WALTERS MCNAIR (NPI# 1376503904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376503904 |
| Entity Type | Individual |
| Full Name | VANESSA WALTERS MCNAIR |
| Credential | M.D. |
| Practice Address |
2104 Massey Ave Naval Station Mayport FL 32228 |
| Mailing Address |
4463 Catheys Club Ln Jacksonville FL 32224-5670 |
| Practice Telephone | 9042704231 |
| Mailing Telephone | 9042704220 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME 103292 | FL | Allopathic & Osteopathic Physicians |
| Y | 171000000X | Military Health Care Provider | 01059252A | IN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932295284 | Vanessa J Mcnair | Physical Therapist | 317 N Rust Ave, Gentry, AR 72734-9552 | 2006-10-05 |
| 1821622630 | Vanessa Mcnair | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| Street Address |
2104 MASSEY AVE |
| City | NAVAL STATION MAYPORT |
| State | FL |
| Zip Code | 32228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1871950667 | Julie Nicole Boisen | General Practice | Bldg 1320, Waterfront Medical, Mayport, FL 32228 | 2016-01-25 |
| 1134594245 | Luis Figueroa | Military Health Care Provider | Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 | 2015-12-01 |
| 1790154813 | Franklin Paul Mccullough | Military Health Care Provider | Bon Homme St Bldg 2480, Jacksonville, FL 32228 | 2015-09-18 |
| 1932512498 | Mayport Refill Pharmacy | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 | 2014-06-03 |
| 1366863102 | Clayton Pascik | Military Health Care Provider | Bldg 1488 Massey Ave., Jacksonville, FL 32228 | 2013-12-20 |
| 1104267533 | Joshua Israel Keil | Optometrist | Building 2104 Massey Avenue, Nas Mayport, FL 32228 | 2013-07-15 |
| 1588907042 | Devon Schefano | Military Health Care Provider | 1204 Massey Ave, Mayport, FL 32228 | 2013-04-03 |
| 1851686554 | Philip M Yam | Psychiatry & Neurology | Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 | 2011-06-10 |
| Find all providers in zip 32228 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872387 | Wesley Charles Wagers | Military Health Care Provider | 96 Mdos/sgof, 307 Boatner Road, Suite 114, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1548808546 | Patrick S. Merriman | Military Health Care Provider | Navy Medicine Support Command Att: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1023656451 | Operation Art District Healthcare LLC | Military Health Care Provider | 11 Nottingham Pl, Boynton Beach, FL 33426-8427 | 2019-12-17 |
| 1245881994 | Matthew Kerwin Church | Military Health Care Provider | 2020 Glenwood Hammock Rd, Deland, FL 32720-3805 | 2019-09-24 |
| 1326512443 | Francine Dorce I | Military Health Care Provider | 2300 Lynbrooke View Ct Apt 4, Orlando, FL 32822-4624 | 2019-01-12 |
| 1053805671 | Jeremy Ganz | Military Health Care Provider | 283 Twin Lakes Ln, Destin, FL 32541-2866 | 2018-06-18 |
| 1093224388 | Roland Vaughn | Military Health Care Provider | 970 Lake Carillon Dr Ste 300, St Petersburg, FL 33716-1130 | 2017-09-29 |
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1134576390 | Nathan Jamal Pena | Military Health Care Provider | 1320 Bailey Ave, Jacksonville, FL 32228-0028 | 2016-05-18 |
| 1780063644 | Samuel Herman | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98, Pensacola, FL 32512-0001 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
| City | NAVAL STATION MAYPORT |
| Zip Code | 32228 |
Please comment or provide details below to improve the information on VANESSA WALTERS MCNAIR.
| 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.