Provider Demographics
NPI:1952353567
Name:GARNER, CAROL M (APRN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:GARNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:JEAN
Other - Last Name:MURPHEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4123 UNIVERSITY BLVD S
Mailing Address - Street 2:STE B
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-636-9100
Mailing Address - Fax:904-636-9102
Practice Address - Street 1:4123 UNIVERSITY BLVD S
Practice Address - Street 2:STE B
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-636-9100
Practice Address - Fax:904-636-9102
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2722252363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health