Provider Demographics
NPI:1811627102
Name:COMBES, ANGELA MICHELLE (APRN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MICHELLE
Last Name:COMBES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MICHELLE
Other - Last Name:NAJAFI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:241 ROYAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-0509
Mailing Address - Country:US
Mailing Address - Phone:904-234-9585
Mailing Address - Fax:
Practice Address - Street 1:5829 PEPSI PL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6162
Practice Address - Country:US
Practice Address - Phone:904-443-0885
Practice Address - Fax:904-443-0886
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11020164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily