NATASHA LEE


Address: 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344
Phone: 9043980125

NATASHA LEE (NPI# 1629467394) 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) 1629467394
Entity Type Individual
Full Name NATASHA LEE
Credential PA-C
Practice Address 836 Prudential Dr Ste 1700
Credentialing Department
Jacksonville
FL 32207-8344
Mailing Address Po Box 40767
Credentialing Department
Jacksonville
FL 32203-0767
Practice Telephone 9043980125
Practice Fax Number 9043981832
Mailing Telephone 9043763707
Mailing Fax Number 9043915807
Enumeration Date 2015-01-17
Last Update Date 2015-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9108408 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers NATASHA LEE

NPI Name Taxonomy Address Enumeration
1649617168 Natasha Hope Lee Nurse Practitioner 3800 Houma Blvd Ste 350, Metairie, LA 70006 2013-05-23
1063617363 Natasha M Lee Dentist 1613 Highway 20 W, Mcdonough, GA 30253-7311 2007-06-18
1427148568 Natasha Anne Lee Dentist 1317 9th Ave, San Francisco, CA 94122-2308 2006-10-12
1114458213 Natasha Lee Student in an Organized Health Care Education/Training Program 1430 Tulane Ave # Sl-50, New Orleans, LA 70112-2632 2017-03-21
1285090316 Natasha Collins Lee Counselor 1701 White St, Mccomb, MS 39648-2711 2016-01-05
1841663739 Natasha Lee Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2015-11-02
1033251491 Natasha Rae Lee Counselor 277 South St, Suite Y, San Luis Obispo, CA 93401-5039 2007-02-13

Office Location

Street Address 836 PRUDENTIAL DR STE 1700
CREDENTIALING DEPARTMENT
City JACKSONVILLE
State FL
Zip Code 32207-8344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528060936 Marc Richard Litt Internal Medicine 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344 2005-08-15
1760018469 Laura Elizabeth Spear Nurse Practitioner 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2020-03-14
1992284343 Morgan Elizabeth Koch Physician Assistant 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2018-08-07
1023480498 Jenna D Effron Physician Assistant 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2015-10-26
1881080646 Julia C Silver Physician Assistant 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2015-04-08
1881094308 Jarica Thigpen Physician Assistant 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344 2014-09-03
1669881801 Jessica Lynn Saliba Nurse Practitioner 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2014-08-12
1144650078 Max Courtney II Physician Assistant 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2013-11-13
1194070862 Ryan R Shrode Licensed Practical Nurse 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2012-07-19
1508178567 Christopher Owen Austin Internal Medicine 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 2010-07-07
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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 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851919526 Kyra Panni Physician Assistant 3857 Hartwood Ln, Jacksonville, FL 32216-1486 2020-07-09
1467935213 Alexis Almonte Physician Assistant 655 W 8th St # C-3, Jacksonville, FL 32209-6511 2018-09-07
1053851535 Luciana Oran Physician Assistant 4849 Florida Club Cir Apt 3104, Jacksonville, FL 32216-1089 2017-03-02
1699217463 Ashley C Moyer Physician Assistant 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 2016-11-10
1437600889 Lindsay Elizabeth Murrell Physician Assistant 14540 Old Saint Augustine Rd Ste 2599, Jacksonville, FL 32258-7420 2016-10-20
1992178719 Sonila Musta-kina Physician Assistant 1633 Race Track Rd Ste 101, Jacksonville, FL 32259-3237 2015-11-02
1922409580 Lindsey Beth Hollingsworth Physician Assistant 841 Prudential Dr Ste 1900, Jacksonville, FL 32207-8373 2014-09-12
1487905220 Krystin Michelle Greene Physician Assistant 4085 University Blvd S Ste 3, Jacksonville, FL 32216-4362 2012-09-19
1790034296 Gary Robertson Physician Assistant 12964 Winthrop Cove Dr, Jacksonville, FL 32224-7503 2012-08-30
1366711905 Jeremiah Taejong Oh Physician Assistant 3d Battalion, 8th Marines Psc Box 20104, Camp Lejeune, Jacksonville, NC 28542-0104 2011-12-28
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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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