Provider Demographics
NPI:1437622107
Name:GARCIA, MICHELLE ESPANOL (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ESPANOL
Last Name:GARCIA
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 1:9310 OLD KINGS RD S STE 1303
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8100
Mailing Address - Country:US
Mailing Address - Phone:904-900-3472
Mailing Address - Fax:904-503-2373
Practice Address - Street 1:9310 OLD KINGS RD S STE 1303
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8100
Practice Address - Country:US
Practice Address - Phone:904-900-3472
Practice Address - Fax:904-503-2373
Is Sole Proprietor?:No
Enumeration Date:2019-01-05
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000573363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care