BROOKE LEIGH MCDUFFIE


Address: 3115 Spring Glen Rd, Suite 505, Jacksonville, FL 32207-5978
Phone: 9044933390

BROOKE LEIGH MCDUFFIE (NPI# 1346563129) 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) 1346563129
Entity Type Individual
Full Name BROOKE LEIGH MCDUFFIE
Credential ACNP
Practice Address 3115 Spring Glen Rd
Suite 505
Jacksonville
FL 32207-5978
Practice Telephone 9044933390
Practice Fax Number 9044933395
Mailing Telephone 9044933390
Mailing Fax Number 9044933395
Enumeration Date 2010-03-08
Last Update Date 2010-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
ARNP9191403 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3115 SPRING GLEN RD
SUITE 505
City JACKSONVILLE
State FL
Zip Code 32207-5978

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1306443916 Simmy Regin Varghese Nurse Practitioner 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 2020-10-06
1265917124 Sandra Jayussi Nurse Practitioner 7406 Fullerton Ave, Jacksonville, FL 32256 2018-09-26
1427563980 William Phillips Nurse Practitioner 1325 San Marco Blvd Bldg Suite300, Jacksonville, FL 32207-8568 2017-12-06
1366977902 Annette Faulkner Wall Nurse Practitioner 14601 Swansea Ct, Jacksonville, FL 32258-4446 2017-04-20
1730457565 Tressie Brooks Nurse Practitioner 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 2011-12-07
1558536490 Jacquelyn Danette Cannon Nurse Practitioner 1200 Riverplace Blvd 620, Jacksonville, FL 32207-1803 2008-04-22
1003969627 Mike J Primeaux Nurse Practitioner 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 2007-01-18
1700819372 Paula F New Nurse Practitioner 3221 Henderson Dr, Jacksonville, NC 28546-5251 2006-07-08
1114972841 Roxanna A Mcdonald Nurse Practitioner 1947 Morningside St, Jacksonville, FL 32205-9390 2006-05-23
1669449419 Linda A Kramer Nurse Practitioner 2525 Riverside Ave, Jacksonville, FL 32204-4710 2006-03-01
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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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