Organization · Type 2 NPI

Jax Healthcare LLC

Family Nurse Practitioner · Jacksonville, FL

NPI number 1174356554 Active

Practice location

11512 Lake Mead Ave Unit 702
Jacksonville, FL 32256-9681

Call (904) 586-2527 Map

Mailing address

2222 Walkers Glen Ln
Jacksonville, FL 32246-7176

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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About NPI 1174356554

Jax Healthcare LLC's National Provider Identifier is 1174356554, issued on Aug 21, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on May 7, 2025.