Priyanka Patel, APRN
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164028601
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1164028601
- Entity type
- Individual (NPI-1)
- Name
- Priyanka Patel
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2020
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11010031 | FL | Yes |
Practice location
12311 San Jose BlvdJacksonville, FL 32223-2673
Phone 904-262-7211 · Fax 904-262-6995
Mailing address
4435 Cobblefield Cir WJacksonville, FL 32224-7968
Phone 732-744-4449
Other practice locations
4435 Cobblefield Cir W
Jacksonville, FL 32224-7968
Jacksonville, FL 32224-7968
Phone 732-744-4449
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