DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. BRAD A BRISCOE APRN, ACNP-BC, CNS

MEDICARE: DR. BRAD A BRISCOE APRN, ACNP-BC, CNS
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
1363LA2100XAcute Care Nurse Practitioner1067675KY
2363LA2100XAcute Care Nurse Practitioner2590432FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689645020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRAD A BRISCOE APRN, ACNP-BC, CNS
Provider Business Mailing Address
First Line : 653 W 8TH ST
Second Line : P.O. BOX 44008
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-244-3500
Fax Number : 904-244-3425
Provider Business Practice Location Address
First Line : 3122 NEW BERLIN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-1828
Country : US
Telephone Number : 904-633-0340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 05/21/2015

Similar Medicare Providers

1669603197 — MRS. MARJORIE TEATE POUND ARNP
Practice Location Address:
3122 NEW BERLIN RD , UFJAX - DEPT. OF FAMILY MEDICINE
JACKSONVILLE, FL
32226-1828
Practice Phone: 904-633-0340
Practice Fax: 904-633-0341
1174842660 — DR. CHRISTINE CUEVAS M.D.
Practice Location Address:
3122 NEW BERLIN RD
JACKSONVILLE, FL
32226-1828
Practice Phone: 904-633-0355
Practice Fax:
1043690894 — TANIELLE BREW SMITH M.D.
Practice Location Address:
3122 NEW BERLIN RD
JACKSONVILLE, FL
32226-1828
Practice Phone: 904-633-0340
Practice Fax: 904-633-0341
1861927113 — DR. STEPHANIE O AGYEMANG M.D.
Practice Location Address:
3122 NEW BERLIN RD
JACKSONVILLE, FL
32226-1828
Practice Phone: 904-633-0340
Practice Fax: 904-633-0341
1104495977 — UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Practice Location Address:
3122 NEW BERLIN RD
JACKSONVILLE, FL
32226-1828
Practice Phone: 904-633-0340
Practice Fax: 904-633-0341
1194409664 — CHRISTINE MARIE JOSEPH PA-C
Practice Location Address:
3122 NEW BERLIN RD
JACKSONVILLE, FL
32226-1828
Practice Phone: 904-633-0340
Practice Fax:

Directions to “ DR. BRAD A BRISCOE APRN, ACNP-BC, CNS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.