ANGELA D KEENAN


Address: 800 Prudential Dr, Jacksonville, FL 32207-8202
Phone: 9042028000

ANGELA D KEENAN (NPI# 1174151583) 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) 1174151583
Entity Type Individual
Full Name ANGELA D KEENAN
Practice Address 800 Prudential Dr
Jacksonville
FL 32207-8202
Mailing Address 13300 Atlantic Blvd Apt 513
Jacksonville
FL 32225-6132
Practice Telephone 9042028000
Enumeration Date 2020-03-31
Last Update Date 2020-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
9461254 FL Nursing Service Providers

Office Location

Street Address 800 PRUDENTIAL DR
City JACKSONVILLE
State FL
Zip Code 32207-8202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013913854 Annette Davidson Bell Family Medicine 800 Prudential Dr, Jacksonville, FL 32207-8202 2005-06-27
1508467523 Heather Smith Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-11-05
1306446638 Jessica Schilz Dietitian, Registered 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-10-27
1033718747 Kiara Michelle Simmons Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-10-22
1477151488 Nicole Schumaker Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-10-12
1609482868 Anna D Denson Nurse Practitioner 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-09-22
1578179453 Emily Guan Duani Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-09-16
1487264636 Heidi Marie Rebholz Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-08-03
1326657982 Everrenz Health, Inc Family Medicine 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-07-29
1760090302 Matthew Ryan Jones Anesthesiologist Assistant 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-07-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013975374 Judith Ann Damstrom Registered Nurse 414 Creedmoor Rd, Jacksonville, NC 28546-6021 2006-05-03
1114563301 Jessica Cornelia Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2019-11-21
1720624406 Kerry Mclaughlin Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2019-11-18
1023668605 Amanda Lee Graham Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8211 2019-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1437701695 Kristine Gromlovits Registered Nurse 210 N Palmetto Ave Ste A-102, Daytona Beach, FL 32114-7521 2019-07-09
1245890482 Jordan Najjar Registered Nurse 1078 Jeffery St, Boca Raton, FL 33487-4110 2019-06-19
1740742006 Suzan Tamesha Edwards Registered Nurse 2028 Winners Cir, North Lauderdale, FL 33068-5447 2019-04-04
1386164291 Just In Time Nursing, Inc Registered Nurse 2100 S. Ocean Blvd, Suite# 106n, Palm Beach, FL 33480-5207 2017-06-21
1346773900 Christiane Previlma Registered Nurse 2006 Cross Breeze Dr, Wellington, FL 33414-8075 2017-04-10
1871830588 Nancy Carol Gonzalez Registered Nurse 11946 Sw 54th St, Cooper City, FL 33330-4242 2013-01-15
1558637009 Kayse Mcgovern Registered Nurse 2505 Junior St, Orange City, FL 32763-8000 2012-03-29
1295961324 Rosalee Cipolla Registered Nurse 7847 Oregold Dr, New Port Richey, FL 34654-6363 2009-06-03
1003055955 Lissa West Registered Nurse 3606 Maclay Blvd Ste 102, Tallahassee, FL 32312 2009-02-17
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Competitor

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City JACKSONVILLE
Zip Code 32207

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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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