Provider Demographics
NPI:1598073272
Name:NURSEFINDERS OF JACKSONVILLE
Entity Type:Organization
Organization Name:NURSEFINDERS OF JACKSONVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CODIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-346-0500
Mailing Address - Street 1:3728 PHILLIPS HWY STE 12
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-6840
Mailing Address - Country:US
Mailing Address - Phone:904-346-0500
Mailing Address - Fax:904-346-0196
Practice Address - Street 1:3728 PHILLIPS HWY STE 12
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-6840
Practice Address - Country:US
Practice Address - Phone:904-346-0500
Practice Address - Fax:904-346-0196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993708251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health