Healthcare Provider Details

I. General information

NPI: 1689103764
Provider Name (Legal Business Name): MEE AH JAMES BUCKLEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 07/21/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 SW 20TH AVE
OCALA FL
34471-0163
US

IV. Provider business mailing address

2195 SE 38TH ST
OCALA FL
34480-8837
US

V. Phone/Fax

Practice location:
  • Phone: 352-362-1818
  • Fax:
Mailing address:
  • Phone: 352-362-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9252745
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9252745
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: