JACK WILLIAM MOUNCE (NPI# 1154898666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154898666 |
| Entity Type | Individual |
| Full Name | JACK WILLIAM MOUNCE |
| Practice Address |
551616 Us Highway 1 Hilliard FL 32046-8281 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 9048453574 |
| Practice Fax Number | 9048457418 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 9385079 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9385079 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
551616 US HIGHWAY 1 |
| City | HILLIARD |
| State | FL |
| Zip Code | 32046-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497737910 | Susan Urell Irvin | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2005-11-18 |
| 1063706026 | Amanda Lee West | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2011-06-07 |
| 1447270400 | Kimberly Bravo | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2006-07-20 |
| 1558344978 | St Vincents Ambulatory Care Inc | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905004 | Mcci Group Holdings LLC | Family Medicine | 551856 Us Highway, Suite 108, Hilliard, FL 32046 | 2019-01-04 |
| 1538615745 | Kayla Jones | Specialist/Technologist | 38224 Appian Way, Hilliard, FL 32046 | 2016-08-28 |
| 1508259920 | Michael Amer Nackashi | Case Management | 551856 Us Hwy 1, Hilliard, FL 32046 | 2015-03-10 |
| 1669826434 | Yolanda Sabrina Carter | Chore Provider | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2016-04-19 |
| 1588279210 | Galleon Homecare Services, Inc. | Skilled Nursing Facility | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2020-09-10 |
| 1073969077 | Galleon Homecare Services, Inc. | Clinic/Center | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2016-05-09 |
| 1922346204 | Dayspring Village, Inc. | Assisted Living Facility | 554820 Us Highway 1, Hilliard, FL 32046-2846 | 2013-01-22 |
| 1841751070 | Dayspring Village, Inc. | Clinical Medical Laboratory | 554820 Us Highway 1, Hilliard, FL 32046-2846 | 2019-03-29 |
| 1508470527 | Lyla Marie Smith | Family Medicine | 2432 Ruby Dr, Hilliard, FL 32046-5462 | 2020-09-08 |
| 1801207360 | George Weldon Lewis | Veterinarian | 4842 Absolute Dr, Hilliard, FL 32046-6314 | 2014-05-17 |
| Find all providers in zip 32046 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289310 | Tamara Thomas | Nurse Practitioner | 3919 Berry Leaf Ln, Hilliard, OH 43026-3140 | 2020-03-11 |
| 1073005351 | Cara Daufeldt | Nurse Practitioner | 3958 Leap Rd Ste 101, Hilliard, OH 43026-3107 | 2018-06-03 |
| 1437650462 | Sandra Lee Osman | Nurse Practitioner | 3966 Brown Park Dr Ste D, Hilliard, OH 43026-1184 | 2018-02-25 |
| 1164950697 | Megan Spoltman | Nurse Practitioner | 4110 Railton St, Hilliard, OH 43026-1906 | 2017-05-29 |
| 1275889842 | Eric Raymond Trinter | Nurse Practitioner | 4961 Roberts Rd # 43026, Hilliard, OH 43026-8129 | 2012-08-01 |
| 1811201221 | Joan S Garner | Nurse Practitioner | 3667 Scioto Run Blvd, Hilliard, OH 43026-3019 | 2010-07-28 |
| 1356671127 | Kelly Cotrill | Nurse Practitioner | 4523 Cemetery Rd, Hilliard, OH 43026-1102 | 2009-12-30 |
| 1225218316 | Heidi Jean Bobek | Nurse Practitioner | 4225 Leppert Rd, Hilliard, OH 43026-7543 | 2007-11-06 |
| 1861475907 | Josephine Dee Brucia | Nurse Practitioner | 4961 Roberts Rd, Hilliard, OH 43026-8129 | 2005-11-22 |
| 1497737910 | Susan Urell Irvin | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2005-11-18 |
| Find all providers in HILLIARD | ||||
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| 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.