Individual provider · Type 1 NPI
Anthony Atwood Premo, APRN, AGACNP-BC
Adult Health Nurse Practitioner · Jacksonville, FL
NPI number
1033840806
Active
Practice location
14785 Old Saint Augustine Rd Ste 100
Jacksonville, FL 32258-7407
Fax (904) 456-0018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11020380 (FL) |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11020380 (FL) |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11020380 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN11020380 (FL) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1033840806
Anthony Atwood Premo, APRN, AGACNP-BC's National Provider Identifier is 1033840806, issued on Jun 22, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 13, 2025.