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NPI Code Detail

MEDICARE: MRS. BRIANNE LEIGH THURMAN FNP-BC

MEDICARE: MRS. BRIANNE LEIGH THURMAN FNP-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
1363LF0000XFamily Nurse PractitionerAP126127TX
2363LF0000XFamily Nurse PractitionerARNP9251761FL

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 : 1780932699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRIANNE LEIGH THURMAN FNP-BC
Provider Business Mailing Address
First Line : 4280 SOUTHSIDE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-5400
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 4280 SOUTHSIDE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-5400
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 11/10/2014

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