MRS. MICHELLE NICHOLE WATERS


Address: 2377 Dunn Ave, Jacksonville, FL 32218-6983
Phone: 9046330700

MRS. MICHELLE NICHOLE WATERS (NPI# 1376091165) 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) 1376091165
Entity Type Individual
Full Name MRS. MICHELLE NICHOLE WATERS
Credential ARNP
Practice Address 2377 Dunn Ave
Jacksonville
FL 32218-6983
Mailing Address 4567 Temple Lakes Dr
Jacksonville
FL 32257-7816
Practice Telephone 9046330700
Mailing Telephone 9048948469
Enumeration Date 2016-09-21
Last Update Date 2017-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9337907 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9337907 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 019282800 05

Other Providers MICHELLE WATERS

NPI Name Taxonomy Address Enumeration
1881710630 Michelle Waters Physical Therapist 7 Scott Ave., York, ME 03909 2007-03-22
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1558924746 Michelle Mary Waters Nurse Practitioner 3723 W 12600 S, Riverton, UT 84065-7295 2019-04-15
1023580743 Michelle L Waters Counselor 1 Elizabeth Pl, Dayton, OH 45417-3445 2018-12-19
1639555949 Michelle Waters Nurse Practitioner 6567 E Carondelet Dr Ste 215, Tucson, AZ 85710-6154 2015-08-10
1770926008 Michelle Waters Specialist 155 1st Ave, Cochran, GA 31014-5740 2013-04-17
1679704571 Michelle Waters Marriage & Family Therapist 1412 17th St, Bakersfield, CA 93301-5211 2009-07-27
1013015734 Michelle L Waters Pharmacist 100 Park St, Glens Falls, NY 12801-4413 2006-09-20

Office Location

Street Address 2377 DUNN AVE
City JACKSONVILLE
State FL
Zip Code 32218-6983

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821065194 Amra Hadzic Family Medicine 2377 Dunn Ave, Ufjp Dunn Avenue Family Practice, Jacksonville, FL 32218-6983 2006-03-04
1336650167 Gina Patel Physician Assistant 2377 Dunn Ave, Jacksonville, FL 32218-6983 2017-10-19
1982055364 Wilma Ramos Culi Nurse Practitioner 2377 Dunn Ave, Jacksonville, FL 32218-6983 2016-06-27
1073926838 Nimra Khan Family Medicine 2377 Dunn Ave, Jacksonville, FL 32218-6983 2014-06-09
1154696649 Allison Marie Lowe Nurse Practitioner 2377 Dunn Ave, Ufjax - Dept. of Chfm/dunn Avenue Family Medicine, Jacksonville, FL 32218-6983 2012-03-15
1902958184 Genevieve Johnson Sears Physician Assistant 2377 Dunn Ave, Ufjax - Dunn Avenue Family Practice, Jacksonville, FL 32218-6983 2007-01-17
1518054758 Dunn Avenue Physical Therapy Inc Physical Therapist 2377 Dunn Ave, Suite 3, Jacksonville, FL 32218-6983 2006-10-09
1366402935 Charles Joseph Haddad Family Medicine 2377 Dunn Ave, Ufjp Dunn Ave Family Practice, Jacksonville, FL 32218-6983 2006-03-27
1790754877 Kevin William Peterson Family Medicine 2377 Dunn Ave, Ufjp Dunn Avenue Family Practice Center, Jacksonville, FL 32218-6983 2006-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684170 Damon Lamar Baker Nurse Practitioner 12533 Sampson Rd, Jacksonville, Fl, FL 32218 2020-09-21
1578199303 First Coast Health Ventures, LLC Skilled Nursing Facility 15480 Max Leggett Parkway, Jacksonville, FL 32218 2020-03-12
1932679594 Alaina Rachelle Stanley Counselor 11683 Spring Board Dr, Jacksonville, FL 32218 2018-11-27
1508345133 War Cry Ministry Inc Counselor 435 Eric Ave, Jacksonville, FL 32218 2018-08-14
1285111484 St Vincent's Full Service Urgent Care, LLC Clinic/Center 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 2018-07-20
1427544501 Derrick Roberts Behavioral Analyst 11302 Forestdale Rd, Jacksonville, FL 32218 2018-07-02
1215420229 Companion & Compassion LLC Home Health 856 Poydras Ln W, Jacksonville, FL 32218 2018-06-13
1952894784 Michael Alexander Aaro Dentist 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 2018-06-06
1235629445 Melissa C Moree Counselor 13453 Main St. North, Suite 104, Jacksonville, FL 32218 2018-05-14
1861900896 Sheila Nowlin Physical Therapist 1034 Dunn Ave, Jacksonville, FL 32218 2018-01-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1346849502 Caitlin Flott Nurse Practitioner 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 2020-10-20
1972101137 Amanda Brooke Mills Nurse Practitioner 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 2020-10-10
1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
1013524248 Claudia Joseph Nurse Practitioner 3331 Net Ct, Jacksonville, FL 32277-2735 2020-10-01
1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
1013522309 William David Michal Nurse Practitioner 4417 Chippewa Dr, Jacksonville, FL 32210-6006 2020-09-13
1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
1295348464 Debi Cohen Nurse Practitioner 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 2020-08-27
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32218

Improve Information

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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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