MEDICARE: BRITTANY SNYDER APRN

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	9351070	FL

General Provider Information

NPI Number	:	1548738420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY SNYDER APRN

Provider Business Mailing Address
First Line	:	49 JEFFERSON AVE
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-2810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8130 BAYMEADOWS WAY W STE 201
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7451
Country	:	US
Telephone Number	:	904-737-2631
Fax Number	:

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

Provider Enumeration Date	:	11/08/2018
Last Update Date	:	11/08/2018

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Directions to “ BRITTANY SNYDER APRN” Practice Location

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