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NPI Code Detail

MEDICARE: MRS. DAWN MICHELLE SAWYER ARNP

MEDICARE:  MRS. DAWN MICHELLE SAWYER  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
1363L00000XNurse PractitionerARNP 2632382FL
2367500000XCertified Registered Nurse AnesthetistARNP 2632382FL

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 : 1639161466
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN MICHELLE SAWYER ARNP
Provider Business Mailing Address
First Line : PO BOX 41206
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32203-1206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2151 RIVERSIDE AVE.
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204
Country : US
Telephone Number : 904-388-8686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 08/12/2014

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