Healthcare Provider Details

I. General information

NPI: 1861668568
Provider Name (Legal Business Name): AUDREY DUPREE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4830 W KENNEDY BLVD STE 600
TAMPA FL
33609
US

IV. Provider business mailing address

333 COMMERCE ST STE 700
NASHVILLE TN
37201-1835
US

V. Phone/Fax

Practice location:
  • Phone: 888-273-1649
  • Fax: 844-466-2531
Mailing address:
  • Phone: 154-549-8506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP2151042
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number2151042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: