Organization · Type 2 NPI
Healthcare Extraordinare, LLC
Nurse Practitioner · Orange Park, FL
Practice location
3154 Highland Grove Dr
Orange Park, FL 32065-6855
Fax (904) 375-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
Other nurse practitioner providers in Orange Park
About NPI 1780273474
Healthcare Extraordinare, LLC's National Provider Identifier is 1780273474, issued on Jan 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange Park, FL. The record was last updated on Mar 2, 2026.