Healthcare Provider Details

I. General information

NPI: 1548376460
Provider Name (Legal Business Name): MARGARET ASHLEY HOUSTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 CHILDRENS WAY
JACKSONVILLE FL
32207-8426
US

IV. Provider business mailing address

807 CHILDRENS WAY
JACKSONVILLE FL
32207-8426
US

V. Phone/Fax

Practice location:
  • Phone: 904-390-3490
  • Fax: 302-651-4945
Mailing address:
  • Phone: 904-390-3490
  • Fax: 904-390-3422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9180554
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9180554
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: