Provider Demographics
NPI:1497368757
Name:RICKER, ARTHUR C JR (APRN)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:C
Last Name:RICKER
Suffix:JR
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E BAY ST FL 32202
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-2927
Mailing Address - Country:US
Mailing Address - Phone:904-630-0500
Mailing Address - Fax:
Practice Address - Street 1:501 E BAY ST FL 32202
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-2927
Practice Address - Country:US
Practice Address - Phone:904-630-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006582363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health