MEDICARE: TAMEKA HUNT NP-BC

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
1	363LF0000X	Family Nurse Practitioner	11003807	FL
2	363L00000X	Nurse Practitioner	11003807	FL

General Provider Information

NPI Number	:	1528673803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMEKA HUNT NP-BC

Provider Business Mailing Address
First Line	:	3021 N MAIN ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-2122
Country	:	US
Telephone Number	:	904-350-5544
Fax Number	:

Provider Business Practice Location Address
First Line	:	3021 N MAIN ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-2122
Country	:	US
Telephone Number	:	904-350-5544
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2020
Last Update Date	:	01/26/2022

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