Provider Demographics
NPI:1417187600
Name:ABNEY, LAURA A (ARNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:ABNEY
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 SAINT JOHNS BLUFF RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-2309
Mailing Address - Country:US
Mailing Address - Phone:904-419-8006
Mailing Address - Fax:904-830-4404
Practice Address - Street 1:2251 SAINT JOHNS BLUFF RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-2309
Practice Address - Country:US
Practice Address - Phone:904-419-8006
Practice Address - Fax:904-830-4404
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9170623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily