BRITTANY ISOM (NPI# 1134773245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134773245 |
Entity Type | Individual |
Full Name | BRITTANY ISOM |
Credential | DNP, APRN |
Practice Address |
836 Prudential Dr Ste 1506 Jacksonville FL 32207 |
Mailing Address |
836 Prudential Dr Ste 1506 Jacksonville FL 32207-8342 |
Practice Telephone | 9043460050 |
Mailing Telephone | 0493460050 |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
11002671 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
11002671 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
836 Prudential Dr Ste 1506, Jacksonville, FL 32207 | 9043460050 | |
1510 Riverplace Blvd, Jacksonville, FL 322079017 | 9043460050 | |
4181 Southpoint Dr E Ste 300, Jacksonville, FL 322168083 | 9043460050 | |
4425 Merrimac Ave, Jacksonville, FL 322101850 | 9043460050 |
Street Address |
836 PRUDENTIAL DR STE 1506 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689963696 | Dawn M Mormak | Obstetrics & Gynecology | 836 Prudential Dr Ste 1506, Jacksonville, FL 32207-8342 | 2011-03-30 |
1386062859 | Meredith Marie Coulter Oruc | Obstetrics & Gynecology | 836 Prudential Dr Ste 1506, Jacksonville, FL 32207 | 2014-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
Find all providers in zip 32207 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
1033284922 | Maureen C Baxter | Nurse Practitioner | 815 Plaza, Jacksonville, FL 32233 | 2006-11-24 |
1477625457 | Evelyn Knoblock Brady | Nurse Practitioner | 4311 Salisbury Rd, Jacksonville, FL 32216-6123 | 2006-11-14 |
1982628798 | Glenda A. Phillips | Nurse Practitioner | 8075 Gate Pkwy W Ste 305, Jacksonville, FL 32216-3685 | 2006-07-26 |
1831145713 | Nancy R Robinson | Nurse Practitioner | 2933 University Blvd. North, Jacksonville, FL 32211 | 2006-05-25 |
1437104692 | Donna S Price | Nurse Practitioner | 5300 North Pearl Street, Jacksonville, FL 32208 | 2006-05-24 |
1538773304 | Joymarie Jennifer Steely | Nurse Practitioner | 13241 Bartram Park Blvd Unit 1509, Jacksonville, FL 32258-5231 | 2020-08-31 |
1588186084 | Caitlen Elizabeth Despain | Nurse Practitioner | 610 N Westgate Ave, Jacksonville, IL 62650-1152 | 2017-07-17 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
Please comment or provide details below to improve the information on BRITTANY ISOM.
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.