Provider Demographics
NPI:1982063566
Name:LEMMEY, XIOMARA P (ARNP)
Entity Type:Individual
Prefix:MS
First Name:XIOMARA
Middle Name:P
Last Name:LEMMEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:XIOMARA
Other - Middle Name:P
Other - Last Name:LEMMEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:7051 SOUTHPOINT PKWY S STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-8713
Mailing Address - Country:US
Mailing Address - Phone:904-493-2229
Mailing Address - Fax:904-396-4546
Practice Address - Street 1:7051 SOUTHPOINT PKWY S STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8713
Practice Address - Country:US
Practice Address - Phone:904-493-2229
Practice Address - Fax:904-396-4546
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9182702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017223300Medicaid