MS. SHERITA LADWAN BENTLEY


Address: 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954
Phone: 9044933333

MS. SHERITA LADWAN BENTLEY (NPI# 1801244132) 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) 1801244132
Entity Type Individual
Full Name MS. SHERITA LADWAN BENTLEY
Credential APRN
Practice Address 7011 A C Skinner Pkwy
Suite 160
Jacksonville
FL 32256-6954
Mailing Address Po Box 551308
Jacksonville
FL 32255-1308
Practice Telephone 9044933333
Practice Fax Number 9044932222
Mailing Telephone 9044933333
Mailing Fax Number 9044932222
Enumeration Date 2016-05-26
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN9210299 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
RN9210299 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7011 A C SKINNER PKWY
SUITE 160
City JACKSONVILLE
State FL
Zip Code 32256-6954

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194728360 Brett Matthew Sasseen Internal Medicine 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 2005-05-23
1144836982 Centerstone of Tennesse Inc. Clinic/Center 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 2020-09-17
1437780616 Kelly M Capel Case Manager/Care Coordinator 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 2020-01-28
1053958264 Tracy Lynn Monticone Registered Nurse 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 2019-12-06
1912543521 Erin Kelly Voss Physician Assistant 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 2019-11-19
1548700164 Merdijana Ahmetovic Nurse Practitioner 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 2017-03-01
1487027371 Maxwell Samuel Sapolsky Physician Assistant 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 2015-11-02
1386058725 Julia Anne Shank Nurse Practitioner 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 2014-06-13
1114349180 Curtis Allen Clausen Nurse Practitioner 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 2014-01-10
1720369820 Brenda Lee Murphy Nurse Practitioner 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 2011-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
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1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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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

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 32256

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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