VICKI TEAL


Address: 6488 103rd Street, Suite A, Jacksonville, FL 32210
Phone: 9044506800

VICKI TEAL (NPI# 1518457357) 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) 1518457357
Entity Type Individual
Full Name VICKI TEAL
Credential FNP
Practice Address 6488 103rd Street
Suite A
Jacksonville
FL 32210
Mailing Address 4205 Belfort Rd Ste 4015
Jacksonville
FL 32216-3623
Practice Telephone 9044506800
Practice Fax Number 9044506809
Mailing Telephone 9042965691
Mailing Fax Number 9044506401
Enumeration Date 2018-05-17
Last Update Date 2018-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9270069 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6488 103RD STREET
SUITE A
City JACKSONVILLE
State FL
Zip Code 32210

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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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1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
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Competitor

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City JACKSONVILLE
Zip Code 32210

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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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