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NPI Code Detail

MEDICARE: CARLY LYNN STRICKLAND APRN

MEDICARE:   CARLY LYNN STRICKLAND  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN9223202FL
2363L00000XNurse PractitionerAPRN9223202FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285807578
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY LYNN STRICKLAND APRN
Provider Business Mailing Address
First Line : PO BOX 45443
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84145-0443
Country : US
Telephone Number : 904-202-1032
Fax Number : 904-376-4107
Provider Business Practice Location Address
First Line : 13720 OLD SAINT AUGUSTINE RD STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-7415
Country : US
Telephone Number : 904-288-5550
Fax Number : 904-288-5565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/18/2019

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