Healthcare Provider Details

I. General information

NPI: 1467884171
Provider Name (Legal Business Name): FAITH TOGBEH SNYDER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 KING ST SUITE 300
JACKSONVILLE FL
32204-4735
US

IV. Provider business mailing address

120 KING STREET ATTN JILLIAN SCHELLHAMMER
JACKSONVILLE FL
32204
US

V. Phone/Fax

Practice location:
  • Phone: 904-388-1820
  • Fax: 904-388-1827
Mailing address:
  • Phone: 904-800-6347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP-9293283
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP-9293283
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: