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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
934 Ford Wood Dr, Jacksonville, FL 322188422 | 9045088768 | |
11820 Beach Blvd, Jacksonville, FL 322466670 | 9046429100 |
Street Address |
611 E ADAMS ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32202-2847 |
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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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 |
Find all providers in zip 32202 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691843 | Eralene Manangan | Nurse Practitioner | 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 | 2020-08-28 |
1306456025 | Richard Mercer | Nurse Practitioner | 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 | 2020-08-06 |
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 |
1083116107 | Kbn Healthcare, Pllc | Nurse Practitioner | 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256-7932 | 2018-03-05 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32202 |
Please comment or provide details below to improve the information on PATRICK SEAN MOLTMAKER.
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.