NAVAL HOSPITAL JACKSONVILLE (NPI# 1780655373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780655373 |
Entity Type | Organization |
Organization Name | NAVAL HOSPITAL JACKSONVILLE |
Practice Address |
Naval Hospital Jacksonville Jacksonville FL 32214-0001 |
Mailing Address |
631 Madera Rd Chesapeake VA 23322-8048 |
Practice Telephone | 9045427500 |
Mailing Telephone | 7576360296 |
Enumeration Date | 2006-01-31 |
Last Update Date | 2008-08-13 |
Authorized Official Name | MRS. SHIRLEY LOUISE RUSSELL (NP) |
Authorized Official Telephone | 9045427500 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024000076 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891009262 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5000 | 2010-07-28 |
1285731034 | Naval Hospital Jacksonville | Military/U.S. Coast Guard Pharmacy | 814 Radford Blvd, Bldg 7200, Albany, GA 31704-5000 | 2006-09-20 |
1881618346 | Naval Hospital Jacksonville | Emergency Medicine | Naval Hospital Jacksonville, Jacksonville, FL 32099 | 2006-07-27 |
1124050448 | Naval Hospital Jacksonville | Family Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-07-07 |
1194768879 | Naval Hospital Jacksonville | Family Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-06-13 |
1962468389 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-04-25 |
1326017419 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Naval Hospital Jacksonville- Internal Medicine Clinic, Jacksonville, FL 32214-5005 | 2006-03-14 |
1265411383 | Naval Hospital Jacksonville | Emergency Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-01-17 |
Street Address |
NAVAL HOSPITAL JACKSONVILLE |
City | JACKSONVILLE |
State | FL |
Zip Code | 32214-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972590826 | Jennifer Lisa Vedral-baron | Nurse Practitioner | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2005-10-05 |
1386178101 | Tej Bhula Diah | Dentist | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2017-04-18 |
1588032809 | Ralee Spooner | Dentist | Naval Hospital Jacksonville, 2080 Child St., Jacksonville, FL 32214-0001 | 2015-09-03 |
1114367562 | Lundon Shari Brown | Registered Nurse | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2013-06-30 |
1700126026 | James Dominic Haddad | Internal Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2013-02-23 |
1932468055 | Joshua Tatum | Student in an Organized Health Care Education/Training Program | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2012-05-09 |
1790051118 | Robert Merle Obryan | Emergency Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2012-03-29 |
1265709869 | Christine Dahl Davies | Nurse Practitioner | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2011-11-27 |
1578707444 | Laurie Ann Hale | Nurse Practitioner | Naval Hospital Jacksonville, 2018 Child Street, Jacksonville, FL 32214-0001 | 2009-04-23 |
1073697025 | Kristian E Sanchack | Family Medicine | Naval Hospital Jacksonville, 2080 Childs St, Jacksonville, FL 32214-0001 | 2006-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
1407342314 | Jeremiah D. Bond | Nurse Anesthetist, Certified Registered | 2080 Child St, Jacksonville, FL 32214 | 2018-07-03 |
1295228393 | Christopher John Gilbertson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-06-13 |
1043714405 | Adam Blake Hoynacki | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
1114447950 | Brenna Michelle Smith | Pharmacist | 2080 Child St, Jacksonville, FL 32214 | 2017-06-22 |
1639558687 | Catherine Phuong-tu Perrault | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2015-05-22 |
1184044950 | Jason Michael Pesqueira | Student in an Organized Health Care Education/Training Program | 2080 Child St, Family Medicine Clinic, Jacksonville, FL 32214 | 2014-04-21 |
Find all providers in zip 32214 |
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 | 32214 |
Please comment or provide details below to improve the information on NAVAL HOSPITAL JACKSONVILLE.
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.