Individual provider · Type 1 NPI

Viky Divertie, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1790722684 Active

Practice location

12303 San Jose Blvd
Jacksonville, FL 32223-2640

Call (904) 288-0277 Map

Fax (904) 288-0414

Mailing address

8711 Perimeter Park Blvd, Suite 6
Jacksonville, FL 32216-6388

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP2180342 (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 1790722684

Viky Divertie, ARNP's National Provider Identifier is 1790722684, issued on Jun 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 9, 2010.