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Anthony Atwood Premo, APRN,AGACNP-BC
Adult Health Nurse Practitioner in Jacksonville, Florida
NPI 1033840806

Anthony Atwood Premo is an Adult Health Nurse Practitioner based in Jacksonville, FL and is specialized in Adult Health. Anthony Atwood Premo practices in Jacksonville, FL and has the professional credentials of APRN,AGACNP-BC. The NPI Number for Anthony Atwood Premo is 1033840806 and holds a License No. APRN11020380 (Florida).

The current practice location address for Anthony Atwood Premo is 14785 Old Saint Augustine Rd Ste 100, Jacksonville, FL and can be reached out via phone at 904-456-0017 and via fax at 904-456-0018.

Location: 14785 Old Saint Augustine Rd Ste 100, Jacksonville, FL, 32258-7407
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Provider Profile Details
NPI Number
1033840806
Provider Name
Anthony Atwood Premo
Credential
APRN,AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
14785 Old Saint Augustine Rd Ste 100, Jacksonville, FL, 32258-7407
Phone Number
904-456-0017
Fax Number
904-456-0018
Provider Enumeration Date
06/22/2022
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033840806 01 FL HUMANA MILITARY
1033840806 01 FL PRIME HEALTH SERVICES, INC.
1033840806 01 FL PARADIGM
759044500 01 FL CSNI - DEPT OF LABOR
C13FK 01 FL BCBS
759044900 01 FL CSNI - DEPT OF LABOR
1033840806 01 FL ASCENSION HEALTH
1033840806 01 FL CIGNA
institution
Provider Business Practice Location Address Details
Address
14785 Old Saint Augustine Rd Ste 100
City
State
Zip
32258-7407
Phone Number
904-456-0017
Fax Number
904-456-0018
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Provider Business Mailing Address Details
Address
14785 Old Saint Augustine Rd Ste 100
City
State
Zip
32258-7407
Phone Number
904-456-0017
Fax Number
904-456-0018
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
APRN11020380 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
APRN11020380 (Florida)
Definition
Definition to come...
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Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
APRN11020380 (Florida)
Definition
Definition to come...
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Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
APRN11020380 (Florida)
Definition
Definition to come...
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