Provider Demographics
NPI:1841777588
Name:NETTLETON, FRANCES S (ARNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:S
Last Name:NETTLETON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:S
Other - Last Name:TANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:300 HEALTH PARK BLVD.
Mailing Address - Street 2:SUITE 1006- BAKER-GILMOUR CARDIOVASCULAR
Mailing Address - City:ST. AGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086
Mailing Address - Country:US
Mailing Address - Phone:904-794-7050
Mailing Address - Fax:
Practice Address - Street 1:6817 SOUTHPOINT PKWY STE 203
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6286
Practice Address - Country:US
Practice Address - Phone:904-256-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9342860363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARNP9342860OtherSTATE LICENSE