PATRICK SEAN MOLTMAKER


Address: 611 E Adams St, Jacksonville, FL 32202-2847
Phone: 9043941356

PATRICK SEAN MOLTMAKER (NPI# 1104484096) 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) 1104484096
Entity Type Individual
Full Name PATRICK SEAN MOLTMAKER
Credential APRN, PMHNP-BC
Practice Address 611 E Adams St
Jacksonville
FL 32202-2847
Mailing Address 934 Ford Wood Dr
Jacksonville
FL 32218-8422
Practice Telephone 9043941356
Mailing Telephone 9045088768
Enumeration Date 2019-06-05
Last Update Date 2020-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN11002615 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
934 Ford Wood Dr, Jacksonville, FL 322188422 9045088768
11820 Beach Blvd, Jacksonville, FL 322466670 9046429100

Office Location

Street Address 611 E ADAMS ST
City JACKSONVILLE
State FL
Zip Code 32202-2847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114987666 Richard Cull Christensen Psychiatry & Neurology 611 E Adams St, Jacksonville, FL 32202-2847 2006-03-27
1659927358 Mohammad Loay Alkabra Dentist 611 E Adams St, Jacksonville, FL 32202-2847 2019-08-18
1780238345 Janice Laverne Owens Counselor 611 E Adams St, Jacksonville, FL 32202-2847 2019-07-31
1992223408 Jarrell Martin Nurse Practitioner 611 E Adams St, Jacksonville, FL 32202-2847 2017-09-05
1972996510 Kathryn Hill Nurse Practitioner 611 E Adams St, Jacksonville, FL 32202-2847 2015-03-06
1548687361 Patrick Finn Social Worker 611 E Adams St, Jacksonville, FL 32202-2847 2014-03-19
1619307014 Brian Snow Social Worker 611 E Adams St, Jacksonville, FL 32202-2847 2013-11-21
1568892974 Nordeka Hall Social Worker 611 E Adams St, Jacksonville, FL 32202-2847 2013-11-21
1740620673 Annamarie Sullivan Optometrist 611 E Adams St, Jacksonville, FL 32202-2847 2013-06-25
1972895126 Peggy Hoff Nurse Practitioner 611 E Adams St, Jacksonville, FL 32202-2847 2011-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518505411 Dialogical Interaction Recovery, Corp. Substance Abuse Rehabilitation Facility 515 N. Washington Street, Jacksonville, FL 32202 2019-12-11
1801376629 Shelletta Baker Home Delivered Meals 303 N Laura St, Jacksonville, FL 32202 2018-08-21
1083132591 Shelia Yvonne Newby Home Health Aide 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 2017-09-05
1164728010 Dina Maria Fedor Nurse Practitioner 500 E Adams St, Jacksonville, FL 32202 2011-02-09
1689695611 Maryam M Pasha Emergency Medicine 221 N. Hogan St, 401, Jacksonville, FL 32202 2006-07-23
1629174917 Jose A Santana Internal Medicine 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 2006-09-15
1518197912 Pleasant Living Facility, Inc. Assisted Living Facility 1543 Hill St, Jacksonville, FL 32202-1405 2009-07-20
1083803647 Pleasant Living Facility Inc Assisted Living Facility 1543 Hill Street, Jax, FL 32202-1405 2007-10-19
1982003745 Sheila Freeman Social Worker 300 E State St, Jacksonville, FL 32202-1601 2014-08-18
1861999625 Bianca Holcombe Counselor 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 2018-04-09
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1467060434 Rebecca Bertone Nurse Practitioner 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 2020-07-16
1861018616 Octavia J Robertson Nurse Practitioner 3562 Boone Park Ave, Jacksonville, FL 32205-8433 2020-06-17
1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1447710900 Shannska Atis Nurse Practitioner 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 2019-03-21
1811462237 Dzenefa Ramic Nurse Practitioner 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 2018-10-11
1851871024 Shakhia Grant Nurse Practitioner 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 2018-08-17
1295230845 Lacey Cawthron Nurse Practitioner 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 2018-03-27
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Competitor

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City JACKSONVILLE
Zip Code 32202

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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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