Provider Demographics
NPI:1235389339
Name:STEELE, TERESA JANE (APRN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:JANE
Last Name:STEELE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NORTH FLORIDA, STUDENT HEALTH SERVICES
Mailing Address - Street 2:1UNF DRIVE BLDG 39A
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224
Mailing Address - Country:US
Mailing Address - Phone:904-620-2900
Mailing Address - Fax:904-620-2902
Practice Address - Street 1:UNIVERSITY OF NORTH FLORIDA, STUDENT HEALTH SERVICES
Practice Address - Street 2:1UNF DRIVE BLDG 39A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224
Practice Address - Country:US
Practice Address - Phone:904-620-2900
Practice Address - Fax:904-620-2902
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9168891363LF0000X
FL2498133V00000X
FLND2498133V00000X
FLARNP9168891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered