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General NPI Number Information
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NPI Number | 1568935344
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Entity Type | Individual
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Provider Name | JAMES PATRICK GILSTRAP DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 3625 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4207
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Country | US
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Telephone | 904-738-4823
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 23RD ST N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-2853
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Country | US
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Telephone | 904-738-4823
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024180934
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9326546
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 12392129-4406
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28273162A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 264038
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11000747
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28273162A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2024003579
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License Number State | MO
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