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NPI Code Detail

MEDICARE: JADE CYRUS FNP-BC

MEDICARE: JADE CYRUS FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN11008586FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336754084
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE CYRUS FNP-BC
Provider Business Mailing Address
First Line : 142 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1159
Country : US
Telephone Number : 904-334-0910
Fax Number :
Provider Business Practice Location Address
First Line : 142 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1159
Country : US
Telephone Number : 904-334-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2020
Last Update Date : 09/09/2021

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Directions to “ JADE CYRUS FNP-BC” Practice Location

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