Provider Demographics
NPI:1134704364
Name:MCPHAIL, PATRICIA GEORGIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:GEORGIA
Last Name:MCPHAIL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9816 SW 51ST AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-8625
Mailing Address - Country:US
Mailing Address - Phone:954-297-1328
Mailing Address - Fax:
Practice Address - Street 1:9816 SW 51ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-8625
Practice Address - Country:US
Practice Address - Phone:954-297-1328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF02210312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily