Provider Demographics
NPI:1790958395
Name:WARD, HELENOR B (ARNP)
Entity Type:Individual
Prefix:MS
First Name:HELENOR
Middle Name:B
Last Name:WARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:HELENOR
Other - Middle Name:B
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:9969 OLD LEM TURNER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-7508
Mailing Address - Country:US
Mailing Address - Phone:904-768-1486
Mailing Address - Fax:
Practice Address - Street 1:9570 REGENCY SQUARE BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225
Practice Address - Country:US
Practice Address - Phone:904-721-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP639142363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner