person
Angella D Bascom, ARNP
Family Nurse Practitioner in Jacksonville, Florida
NPI 1023182656

Angella D Bascom is a Family Nurse Practitioner based in Jacksonville, FL and is specialized in Family. 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 (Florida).

The current practice location address for Angella D Bascom is 9283 San Jose Blvd # B-2S1, Jacksonville, FL and can be reached out via phone at 904-268-5826 and via fax at 904-268-5826. You can also correspond with Angella D Bascom through the mailing address at 9283 SAN JOSE BLVD # B-2S1, JACKSONVILLE, FL - 32257-5584 (mailing address contact number: 904-268-5826).

Location: 9283 San Jose Blvd # B-2S1, Jacksonville, FL, 32257-5584
person
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
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9283 San Jose Blvd # B-2S1
City
State
Zip
32257-5584
Phone Number
904-268-5826
Fax Number
904-268-5826
person
Provider Business Mailing Address Details
Address
9283 San Jose Blvd # B-2S1
City
State
Zip
32257-5584
Phone Number
904-268-5826
Fax Number
904-268-5826
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN2269970 (Massachusetts)
Definition
Definition to come...
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