SALISIA SHUNTA VALENTINE


Address: 1505 Pelham Rd S, Suite 2, Jacksonville, AL 36265-3706
Phone: 2564357300

SALISIA SHUNTA VALENTINE (NPI# 1871894162) 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) 1871894162
Entity Type Individual
Full Name SALISIA SHUNTA VALENTINE
Other Name SALISIA SHUNTA GAMBLE
Credential NP
Practice Address 1505 Pelham Rd S
Suite 2
Jacksonville
AL 36265-3706
Mailing Address 702 Alexandria Rd
Weaver
AL 36277-4318
Practice Telephone 2564357300
Practice Fax Number 2564357305
Mailing Telephone 2562832917
Enumeration Date 2010-11-03
Last Update Date 2010-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1-098772 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1505 PELHAM RD S
SUITE 2
City JACKSONVILLE
State AL
Zip Code 36265-3706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326079922 Doctors Med Care of Jacksonville, P.C. Family Medicine 1505 Pelham Rd S, Ste 2, Jacksonville, AL 36265-3706 2006-07-05
1174074918 Whitney Grimes Nurse Practitioner 1505 Pelham Rd S, Suite 2, Jacksonville, AL 36265-3706 2016-10-17
1205257383 Kimberly Mccutcheon Registered Nurse 1505 Pelham Rd S, Suite 7, Jacksonville, AL 36265-3706 2013-12-17
1164526711 Juda Carter Nurse Practitioner 1505 Pelham Rd S, Ste 2, Jacksonville, AL 36265-3706 2006-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700436144 Griffin Loflin Specialist/Technologist 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 2019-09-17
1114304011 Caroline Ross Counselor 1215 Jackson Way Sw, Jacksonville, AL 36265 2015-04-29
1083001226 Tracey Hudgins Counselor 1215 Jackson's Way, Jacksonville, AL 36265 2015-04-24
1235415118 Adam Pike Pharmacist 311 Pelham Rd So, Jacksonville, AL 36265 2011-10-24
1386829489 Physicians Choice Dialysis of Jacksonville, LLC Clinic/Center 331 Henry Road Sw, Jacksonville, AL 36265 2008-01-08
1659409365 Kenneth Wayne Campbell Nurse Anesthetist, Certified Registered 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 2007-03-02
1154478378 Diana C. Ford Counselor 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 2007-01-03
1487710950 James Richard Morrison Chiropractor 1550 Pelham Rd. S., Jacksonville, AL 36265 2006-12-29
1447332937 Millennium Anesthesia Services Anesthesiology 1701 Pelham Road S, Jacksonville, AL 36265 2006-10-20
1407943228 Brunda Revanna, Md Clinic/Center 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 2006-10-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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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
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Competitor

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City JACKSONVILLE
Zip Code 36265

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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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