Provider Demographics
NPI:1245218874
Name:ARMSTRONG, BERNITA JEAN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:BERNITA
Middle Name:JEAN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:BERNITA
Other - Middle Name:JEAN
Other - Last Name:DRIGGERS-WARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:4266 SUNBEAM RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-2425
Mailing Address - Country:US
Mailing Address - Phone:904-407-7700
Mailing Address - Fax:904-407-7782
Practice Address - Street 1:4266 SUNBEAM RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257
Practice Address - Country:US
Practice Address - Phone:904-407-7700
Practice Address - Fax:904-407-7782
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN12050363LA2200X
KY3006487363LA2200X
FLARNP945312363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018840100Medicaid
KY7100112870Medicaid
KY7100112870Medicaid
KYP400022044Medicare PIN
FLP00022044Medicare PIN
TN3643943Medicare PIN