Individual provider · Type 1 NPI
Bao Quoc Pham, APRN
Nurse Practitioner · Jacksonville, FL
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11048048 (FL) |
Nurse Practitioner: (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 wit…
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About NPI 1093635955
Bao Quoc Pham, APRN's National Provider Identifier is 1093635955, issued on Jul 20, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 10, 2026.