Healthcare Provider Details

I. General information

NPI: 1013984111
Provider Name (Legal Business Name): LINDA L HANCOCK CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. LINDA DELMAN

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SHIRCLIFF WAY STE 600
JACKSONVILLE FL
32204-4762
US

IV. Provider business mailing address

PO BOX 748817
ATLANTA GA
30374-8817
US

V. Phone/Fax

Practice location:
  • Phone: 904-821-7556
  • Fax: 855-707-1416
Mailing address:
  • Phone: 813-286-0033
  • Fax: 813-282-1806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR59822
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11026860
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: