Healthcare Provider Details

I. General information

NPI: 1932029378
Provider Name (Legal Business Name): NURSESPRING OF JACKSONVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10024 SAN JOSE BLVD
JACKSONVILLE FL
32257-5836
US

IV. Provider business mailing address

5500 N DAVIS HWY
PENSACOLA FL
32503-2009
US

V. Phone/Fax

Practice location:
  • Phone: 904-346-0500
  • Fax: 904-346-0196
Mailing address:
  • Phone: 904-346-0500
  • Fax: 904-346-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN M JASON
Title or Position: PRESIDENT
Credential:
Phone: 850-479-8620