LESLIE GAYLE LOHSE (NPI# 1831716547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831716547 |
| Entity Type | Individual |
| Full Name | LESLIE GAYLE LOHSE |
| Credential | APRN |
| Practice Address |
800 Prudential Dr Jacksonville FL 32207-8202 |
| Mailing Address |
1301 Palm Ave Jacksonville FL 32207-8432 |
| Practice Telephone | 9042022000 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
11007622 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 PRUDENTIAL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913854 | Annette Davidson Bell | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2005-06-27 |
| 1508467523 | Heather Smith | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-11-05 |
| 1306446638 | Jessica Schilz | Dietitian, Registered | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-10-27 |
| 1033718747 | Kiara Michelle Simmons | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-22 |
| 1477151488 | Nicole Schumaker | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-12 |
| 1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
| 1578179453 | Emily Guan Duani | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-16 |
| 1487264636 | Heidi Marie Rebholz | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-08-03 |
| 1326657982 | Everrenz Health, Inc | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-29 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729546 | Anderson Healthcare Masters LLC | Nurse Practitioner | 2332 Brian Lakes Dr E, Jacksonville, FL 32221-2802 | 2020-08-10 |
| 1336763044 | Maytin Integrated Healthcare, Inc | Nurse Practitioner | 12443 San Jose Blvd Ste 403, Jacksonville, FL 32223-8650 | 2020-05-29 |
| 1821628207 | Latasha Wiley | Nurse Practitioner | 11698 Alexandra Dr, Jacksonville, FL 32218-8874 | 2020-01-24 |
| 1396204871 | Tanza L Walker | Nurse Practitioner | 6135 Ricker Rd, Jacksonville, FL 32244-2605 | 2019-03-14 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1972087682 | Telicia Fisher | Nurse Practitioner | 11634 Brian Lakes Dr, Jacksonville, FL 32221-2855 | 2018-09-18 |
| 1629555834 | Jose R Garcia | Nurse Practitioner | 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257-8100 | 2018-07-20 |
| 1730694290 | David Jonathan Tonto | Nurse Practitioner | 11250 Baptist Health Dr, Jacksonville, FL 32218-2978 | 2017-12-06 |
| 1316293384 | Marta Kay Spaulding Wells | Nurse Practitioner | 13720 Weeping Willow Way, Jacksonville, FL 32224-6899 | 2012-07-27 |
| 1316057029 | Kristine H Thompson | Nurse Practitioner | 2563 Oak St, Jacksonville, FL 32204-4559 | 2006-08-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on LESLIE GAYLE LOHSE.
| 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.