MEDICARE: MRS. AVA RUTH SMITH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP2677182	FL

General Provider Information

NPI Number	:	1083803845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AVA RUTH SMITH ARNP

Provider Business Mailing Address
First Line	:	1842 HICKMAN RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4443
Country	:	US
Telephone Number	:	904-725-6300
Fax Number	:	904-725-5447

Provider Business Practice Location Address
First Line	:	1842 HICKMAN RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4443
Country	:	US
Telephone Number	:	904-725-6300
Fax Number	:	904-725-5447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	10/17/2007

Similar Medicare Providers

1609832534 — DR. EARL HOWARD EYE JR. MD
Practice Location Address:

1842 HICKMAN RD
JACKSONVILLE, FL
32216-4443

Practice Phone: 904-725-6300
Practice Fax: 904-725-5447

1558430736 — CLINIC FOR PULMONARY AND INFECTIOUS DISEASES PA
Practice Location Address:

1842 HICKMAN RD
JACKSONVILLE, FL
32216-4443

Practice Phone: 904-725-6300
Practice Fax: 904-725-5447

1932317922 — DR. JODI EVE MASON DMD
Practice Location Address:

2008 RIVERSIDE AVE , SUITE 101
JACKSONVILLE, FL
32204-4443

Practice Phone: 904-372-3260
Practice Fax: 904-385-3704

1023271517 — MERRILL MARTIN CHANDLER M.S., BCBA
Practice Location Address:

4443 BASS PL N
JACKSONVILLE, FL
32210-6000

Practice Phone: 904-465-0090
Practice Fax: 904-212-1032

1861630378 — REHAB PROVIDERS INC
Practice Location Address:

1527 SILVER ST
JACKSONVILLE, FL
32206-4443

Practice Phone: 904-891-0782
Practice Fax: 904-357-0061

1457587891 — PERRY JC MD PA
Practice Location Address:

7999 PHILIPS HWY , STE 302
JACKSONVILLE, FL
32256-4443

Practice Phone: 904-733-0099
Practice Fax: 904-733-0070

Directions to “ MRS. AVA RUTH SMITH ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.