MARY ELSIELYNN CARRIGAN (NPI# 1588892178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588892178 |
| Entity Type | Individual |
| Full Name | MARY ELSIELYNN CARRIGAN |
| Other Name | ELSIE CARRIGAN |
| Credential | ARNP |
| Practice Address |
6271 Saint Augustine Rd Ufjax - Dept. of Pediatrices Jacksonville FL 32217-2523 |
| Mailing Address |
Po Box 44008 Ufjp - Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9046330926 |
| Practice Fax Number | 9046330461 |
| Mailing Telephone | 9042443199 |
| Mailing Fax Number | 9042443425 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP2508052 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 591290544A | 05 | |
| FL | 0012787-00 | 05 | |
| GA | 591290544B | 05 |
| Street Address |
6271 SAINT AUGUSTINE RD UFJAX - DEPT. OF PEDIATRICES |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154380285 | Olin Beverly Mauldin Jr. | Pediatrics | 6271 Saint Augustine Rd, Ufjp San Jose Pediatric and Adolescenter Center, Jacksonville, FL 32217-2523 | 2006-03-18 |
| 1316035413 | Susan S Moore | Pediatrics | 6271 Saint Augustine Rd, Jacksonville, FL 32217-2523 | 2006-10-11 |
| 1790706711 | Carmela Lydia Tardo | Psychiatry & Neurology | 6271 Saint Augustine Rd, Ufjp Developmental Pediatrics, Jacksonville, FL 32217-2523 | 2006-07-23 |
| 1467493288 | David Omer Childers Jr. | Pediatrics | 6271 Saint Augustine Rd, Ufjp Developmental Pediatrics, Jacksonville, FL 32217-2523 | 2006-06-10 |
| 1801848056 | Tajvar H Goudarzi | Pediatrics | 6271 Saint Augustine Rd, Ufjp San Jose Peds and Adolescent Center, Jacksonville, FL 32217-2523 | 2006-05-16 |
| 1598727075 | Pamela Alix Lindor | Pediatrics | 6271 Saint Augustine Rd, Jacksonville, FL 32217-2523 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on MARY ELSIELYNN CARRIGAN.
| 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.