MARY JO FRANCES FERNANDEZ (NPI# 1932139425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932139425 |
| Entity Type | Individual |
| Full Name | MARY JO FRANCES FERNANDEZ |
| Credential | PHD |
| Practice Address |
1135 Nw 23rd Ave Suite G Gainesville FL 32609-5415 |
| Mailing Address |
11307 Nw 60th Ter Alachua FL 32615-7415 |
| Practice Telephone | 7817106539 |
| Mailing Telephone | 7817106539 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 7249 | MA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY 9485 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0501417 | 05 | |
| MA | BCBS | W05960 | 01 |
| TUFTS | 401761 | 01 |
| Street Address |
1135 NW 23RD AVE SUITE G |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831347293 | All Women's Health Center of Gainesville, Inc. | Obstetrics & Gynecology | 1135 Nw 23rd Ave, Suite N, Gainesville, FL 32609-5415 | 2008-08-28 |
| 1457562969 | Amanda C Wilson | Massage Therapist | 1135 Nw 23rd Ave, Suite D, Gainesville, FL 32609-5415 | 2007-05-25 |
| 1427182070 | Susanne Setuh Hesse | Massage Therapist | 1135 Nw 23rd Ave, Gainesville, FL 32609-5415 | 2007-03-15 |
| 1518002559 | Mark Anthony Kereston | Massage Therapist | 1135 Nw 23rd Ave, Suite F, Gainesville, FL 32609-5415 | 2007-02-20 |
| 1811918469 | Jodell Kay Allen | Obstetrics & Gynecology | 1135 Nw 23rd Ave, Suite N, Gainesville, FL 32609-5415 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622941 | Amanda Celeste Alexander | Psychologist | 111 Se 1st Ave, Gainesville, FL 32601-9912 | 2019-05-01 |
| 1205075173 | Shari Ann Robinson | Psychologist | 7409 Sw 87th Ter, Gainesville, FL 32608-8761 | 2009-02-16 |
| 1831388750 | Paul G. Schauble Sr. | Psychologist | 3950 Nw 38th Pl, Gainesville, FL 32606-6164 | 2007-10-16 |
| 1336354091 | Jaquelyn Liss Resnick | Psychologist | 700 Sw 29th Pl, Gainesville, FL 32601-9010 | 2007-05-14 |
| 1235353947 | Chun Chung Choi | Psychologist | 301 Peabody Hall, Gainesville, FL 32611-4100 | 2007-04-12 |
| 1831688993 | Julie Barritt | Psychologist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2018-05-04 |
| 1124523204 | Donna Labarge | Psychologist | 1208 Nw 6th St, Gainesville, FL 32601-4245 | 2018-03-29 |
| 1346772829 | Jocelyn A. Lee, Phd | Psychologist | 2653 Sw 87th Dr Ste A, Gainesville, FL 32608-9382 | 2017-04-03 |
| 1962940452 | Nancy C. Coleman, Ph.d. | Psychologist | 7328 W University Ave, Suite B, Gainesville, FL 32607-1695 | 2017-02-06 |
| 1386189314 | Charles R. Martin, Ph.d., LLC | Psychologist | 2631 Nw 41st St, E-6, Gainesville, FL 32606-7470 | 2016-12-29 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on MARY JO FRANCES FERNANDEZ.
| 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.