MRS. JUDY MAYNOR COMEAUX (NPI# 1871786665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871786665 |
Entity Type | Individual |
Full Name | MRS. JUDY MAYNOR COMEAUX |
Credential | ARNP |
Practice Address |
810 Lane Ave S Jacksonville FL 32205-4785 |
Practice Telephone | 9047839680 |
Practice Fax Number | 9046930138 |
Mailing Telephone | 9047839680 |
Mailing Fax Number | 9046930138 |
Enumeration Date | 2007-08-24 |
Last Update Date | 2007-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 1615762 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
810 LANE AVE S |
City | JACKSONVILLE |
State | FL |
Zip Code | 32205-4785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376530998 | James W Clower IIi | Family Medicine | 810 Lane Ave S, Credentialing Department, Jacksonville, FL 32205-4785 | 2005-09-29 |
1184287245 | Vanessa Lynne Shaw | Nurse Practitioner | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2019-04-15 |
1801243985 | Holly Redlinger | Social Worker | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2016-05-19 |
1417180886 | Matthew Todd Braddock | Family Medicine | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2009-09-01 |
1962686733 | Emmanuel T. Miel Jr. | Family Medicine | 810 Lane Ave S, Credentialing Department, Jacksonville, FL 32205-4785 | 2007-12-28 |
1568643443 | Baptist Primary Care Inc | Family Medicine | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2007-11-19 |
1912116872 | Joanne Dufton | Physical Therapist | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2007-05-21 |
1497880348 | William S Lax | Physician Assistant | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2007-02-22 |
1538245030 | Dawn M Johnson | Pharmacist | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2006-10-27 |
1124055587 | Lisa Ragland | Pharmacist | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2006-06-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
Find all providers in zip 32205 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144707183 | Kevin Troup | Nurse Practitioner | 559 Apple Creek Dr, Jacksonville, FL 32218-8954 | 2018-07-23 |
1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
1750795803 | Maria Gianna Agustin | Nurse Practitioner | 5618 Jeremy Ln, Jacksonville, FL 32257-3215 | 2014-06-17 |
1881021376 | Erika Laine Baker | Nurse Practitioner | 655 W 8th St # C3, Clinical Center 6th Floor, Suite 6-030, Jacksonville, FL 32209-6511 | 2013-09-30 |
1598010688 | Gabrielle Rollins | Nurse Practitioner | 10095 Beach Blvd Ste 400, Jacksonville, FL 32246-4776 | 2012-07-16 |
1255659629 | Paul Bryan Hofrichter | Nurse Practitioner | 10475 Centruion Parkway, N., Suite 220, Jacksonville, FL 32256 | 2010-05-11 |
1306972161 | Robin Paylor Johnson | Nurse Practitioner | 10337 San Jose Blvd Ste 104, Jacksonville, FL 32257-8223 | 2007-02-26 |
1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
1336191121 | Lori M Olivarez | Nurse Practitioner | 7807 Baymeadows Rd E., Suite 207, Jacksonville, FL 32256 | 2006-05-17 |
1568453504 | Dolores C Jones | Nurse Practitioner | 8344 Whitmire Ct, Jacksonville, FL 32216-1159 | 2005-10-31 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32205 |
Please comment or provide details below to improve the information on MRS. JUDY MAYNOR COMEAUX.
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.