MEDICARE: ANGELA YVETTE ARMSTRONG ARNP

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	363L00000X	Nurse Practitioner	ARNP2612022	FL

General Provider Information

NPI Number	:	1831190081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA YVETTE ARMSTRONG ARNP

Provider Business Mailing Address
First Line	:	1550 RIVERSIDE AVE
Second Line	:	STE A
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4162
Country	:	US
Telephone Number	:	904-276-4500
Fax Number	:	904-276-4160

Provider Business Practice Location Address
First Line	:	2055 PROFESSIONAL CENTER DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4461
Country	:	US
Telephone Number	:	904-276-4500
Fax Number	:	904-276-4160

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/06/2017

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