Individual provider · Type 1 NPI
Ryan Park, NP
Nurse Practitioner · St. Augustine, FL
Practice location
559 W Twincourt Trl Ste 607-608
St. Augustine, FL 32095-8805
Fax (877) 638-8891
Other practice locations
- 360 E Montvue Dr. Ste 100, Meridian, ID 83642 · (208) 855-2900
- 57 Town Ct Ste 123, Palm Coast, FL 32164-2425 · (904) 230-3006
- 1021 Cesery Blvd, Jacksonville, FL 32211-5609 · (904) 743-2466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11030031 (FL) |
| Family Nurse Practitioner | 363LF0000X | NP-1200A (ID) |
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 1760738728
Ryan Park, NP's National Provider Identifier is 1760738728, issued on Jul 27, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 6, 2024.