NPI Code Details Logo

NPI 1336847821

NPI 1336847821 : SAWYER SPURRY NP : NEPTUNE BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336847821
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SAWYER SPURRY NP
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/23/2023
-----------------------------------------------------
    Last Update Date     |    11/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    700 3RD ST STE 302 
-----------------------------------------------------
    City                 |    NEPTUNE BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32266-5082
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    904-997-3800
-----------------------------------------------------
    Fax                  |    904-997-3899
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7751 BELFORT PKWY STE 350 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32256-6951
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    904-363-7453
-----------------------------------------------------
    Fax                  |    904-538-3672
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    R226013
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN11039416
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.