Joel Isom, RN
Registered Nurse in Jacksonville, FL. Individual provider (NPI-1).
NPI number1619897204
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1619897204
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joel Isom
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2026
- Certification date
- Jul 16, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN9676147 | FL | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-953-2000
Mailing address
4500 San Pablo Rd SJacksonville, FL 32224-1865
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