NEUTT DELLAREEDA KING


Address: 1325 San Marco Blvd, Jacksonville, FL 32207-8568
Phone: 9042536910

NEUTT DELLAREEDA KING (NPI# 1396201638) 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) 1396201638
Entity Type Individual
Full Name NEUTT DELLAREEDA KING
Credential MSN, APRN, FNP-BC
Practice Address 1325 San Marco Blvd
Jacksonville
FL 32207-8568
Mailing Address 1325 San Marco Blvd Fl 3
Jacksonville
FL 32207-8568
Practice Telephone 9042536910
Mailing Telephone 9042536920
Enumeration Date 2019-02-12
Last Update Date 2019-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11003579 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1325 SAN MARCO BLVD
City JACKSONVILLE
State FL
Zip Code 32207-8568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730183500 Philip R. Hardy Orthopaedic Surgery 1325 San Marco Blvd, Ste 200, Jacksonville, FL 32207-8566 2005-06-09
1730794496 Rachel Keene Specialist/Technologist 1325 San Marco Blvd, Jacksonville, FL 32207-8568 2020-09-10
1396282836 Peter Christopher Mcdermott Nurse Practitioner 1325 San Marco Blvd, 300, Jacksonville, FL 32207-8568 2017-01-23
1215472014 Lindsay Moore Nurse Practitioner 1325 San Marco Blvd, Reid Building Ste 300, Jacksonville, FL 32207-8568 2017-01-03
1659828994 Aimee Roberts-serrato Nurse Practitioner 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207-8568 2016-09-03
1265985030 Laran Phelps Massage Therapist 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 2016-07-28
1497108310 Kelly Jackson Massage Therapist 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 2016-07-15
1376902221 Joshua Jackson Nurse Practitioner 1325 San Marco Blvd, Reid Bldg., Suite 300, Jacksonville, FL 32207-8568 2016-02-21
1063889814 Emily Lisa Rea Nurse Practitioner 1325 San Marco Blvd, Reid Building Suite 300, Jacksonville, FL 32207-8568 2015-08-27
1194192153 Venessa Carmel Physical Therapist 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 2015-08-26
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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 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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

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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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