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Brittany Elizabeth Gaspar Nettles, APRN

Nurse Practitioner, Family in Jacksonville, FL. Individual provider (NPI-1).

NPI number1164047957
StatusActive
Last updated in NPPESJun 8, 2020

Details

NPI
1164047957
Entity type
Individual (NPI-1)
Name
Brittany Elizabeth Gaspar Nettles
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 8, 2020
Certification date
Jun 8, 2020
Last updated
Jun 8, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11007441FLYes

Practice location

1604 Kilchurn Rd
Jacksonville, FL 32221-3871

Phone 352-283-5690

Mailing address

1604 Kilchurn Rd
Jacksonville, FL 32221-3871

Phone 352-283-5690

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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