Angella D Bascom, ARNP
Nurse Practitioner, Family in Jacksonville, Florida
1023182656- Practice location
- 9283 San Jose Blvd # B-2s1, Jacksonville, FL 32257-5584
- Phone
- 904-268-5826
- Fax
- 904-268-5826
- Last updated
- July 21, 2022
Angella D Bascom is a Nurse Practitioner, Family based in Jacksonville, FL. Angella D Bascom practices in Jacksonville, FL and has the professional credentials of ARNP. The NPI Number for Angella D Bascom is 1023182656 and holds a License No. RN2269970 (MA). The current practice location address for Angella D Bascom is 9283 San Jose Blvd # B-2s1, Jacksonville, FL 32257-5584 and can be reached out via phone at 904-268-5826 and via fax at 904-268-5826.
Provider Profile Details
- NPI Number
- 1023182656
- Provider Name
- Angella D Bascom
- Credential
- ARNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9283 San Jose Blvd # B-2s1, Jacksonville, FL 32257-5584
- Phone Number
- 904-268-5826
- Fax Number
- 904-268-5826
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 17, 2006
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9283 San Jose Blvd # B-2s1
Jacksonville, FL 32257-5584 - City
- Jacksonville
- State
- Florida
- Zip
- 32257-5584
- Phone Number
- 904-268-5826
- Fax Number
- 904-268-5826
Provider Business Mailing Address Details
- Address
- 9283 San Jose Blvd # B-2s1
Jacksonville, FL 32257-5584 - City
- Jacksonville
- State
- FL
- Zip
- 32257-5584
- Phone Number
- 904-268-5826
License Information
- License Number (1)
- RN2269970
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- ARNP9238929
- License State (2)
- FL
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Angella D Bascom, ARNP?
The NPI number of Angella D Bascom, ARNP is 1023182656. It was assigned on November 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Angella D Bascom, ARNP?
Angella D Bascom, ARNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2269970.
Where does Angella D Bascom, ARNP practice?
The practice location is 9283 San Jose Blvd # B-2s1, Jacksonville, FL 32257-5584. The office can be reached at 904-268-5826 (phone) or 904-268-5826 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023182656 directly on the NPPES registry website.