MEDICARE: MISGLEDY VIERA

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	363LF0000X	Family Nurse Practitioner	APRN11038713	FL

General Provider Information

NPI Number	:	1457147340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISGLEDY VIERA

Provider Business Mailing Address
First Line	:	5731 JACK RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-2468
Country	:	US
Telephone Number	:	904-566-7672
Fax Number	:

Provider Business Practice Location Address
First Line	:	5731 JACK RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-2468
Country	:	US
Telephone Number	:	904-566-7672
Fax Number	:

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

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	06/23/2025

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Directions to “ MISGLEDY VIERA ” Practice Location

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