Carly Little Conner (NPI# 1366727596, PAC ID# 1052585742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366727596 |
| PAC ID by PECOS | 1052585742 |
| Professional Enrollment ID | I20111214000655 |
| Full Name | Carly Little Conner |
| Organization Legal Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Address |
7963 Normandy Blvd Jacksonville FL 32221-6640 |
| Phone Number | 9047860440 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183879364 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 5501 Roosevelt Blvd, Jacksonville, FL 32244-2345 | 9046839662 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| 7963 Normandy Blvd, Jacksonville, FL 32221-6640 | 9047860440 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Organization Legal Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystle Williams Swain | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 615 Pendleton St, Waycross, GA 31501-4724 |
| Lauren W Bell | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Robert Weber | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 5501 Roosevelt Blvd, Jacksonville, FL 32244-2345 |
| Jessica M Johnson | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Farid Ahmed | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Ralph Badanowski | Emergency Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Sarah Katherine Curtis | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Thomas Williams | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Michael L Cordova | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 |
| Andrea Janan Albritton | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 615 Pendleton St, Waycross, GA 31501-4724 |
| Street Address |
7963 NORMANDY BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32221-6640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren W Bell | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Farid Ahmed | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Ralph Badanowski | Emergency Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Sarah Katherine Curtis | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Thomas Williams | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| David Brian Remias | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Taylor Leard | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Robert P Martin | Sports Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Emily Katherine Begley | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Carol N Noell | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Sanchez Silva | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Rick Albarran | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Lorenzo M Corpus | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 8093 Normandy Blvd, Jacksonville, FL 32221-6646 |
| Jennifer E Tribue | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 8495 Normandy Blvd, Jacksonville, FL 32221-6701 |
| Brittany A Snyder | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 8495 Normandy Blvd, Jacksonville, FL 32221-6701 |
| Jon P Gaudino | Physical Medicine and Rehabilitation | Hcr Manor Care Medical Services of Florida LLC | 8495 Normandy Blvd, Jacksonville, FL 32221-6701 |
| Trieu Dang | Podiatry | 8495 Normandy Blvd, Jacksonville, FL 32221-6701 | |
| Rebecca J Staubs | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 8495 Normandy Blvd, Jacksonville, FL 32221-6701 |
| Patricia A Butler | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 8495 Normandy Blvd, Jacksonville, FL 32221-6701 |
| Cathleen Wood Quillian | Family Medicine | American Current Care Pa | 1584 Normandy Village Pkwy, Suite 32, Jacksonville, FL 32221-6800 |
| Find all physicians in zip 32221 | |||
| City | JACKSONVILLE |
| Zip Code | 32221 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carly Little Conner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.