Provider Demographics
NPI:1851851554
Name:BARTLEY, VERONICA H (APRN)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:H
Last Name:BARTLEY
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 1:15319 SPOTTED STALLION TRL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32234-2397
Mailing Address - Country:US
Mailing Address - Phone:904-294-6985
Mailing Address - Fax:
Practice Address - Street 1:819 TOWNSEND BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-6132
Practice Address - Country:US
Practice Address - Phone:904-374-3311
Practice Address - Fax:904-374-3338
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001870207QG0300X
FLAPRN11001870363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine