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NPI Code Detail

MEDICARE: MRS. MARJORIE TEATE POUND ARNP

MEDICARE: MRS. MARJORIE TEATE POUND 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
1363LF0000XFamily Nurse PractitionerARNP2887702FL

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 : 1669603197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARJORIE TEATE POUND ARNP
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line : UFJP - PROVIDER ENROLLMENT
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number : 904-244-3199
Fax Number : 904-244-3425
Provider Business Practice Location Address
First Line : 3122 NEW BERLIN RD
Second Line : UFJAX - DEPT. OF FAMILY MEDICINE
City : JACKSONVILLE
State : FL
Zip : 32226-1828
Country : US
Telephone Number : 904-633-0340
Fax Number : 904-633-0341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2009
Last Update Date : 01/20/2011

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