MEDICARE: ADELA HUNT 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	363L00000X	Nurse Practitioner	ARNP9222088	FL
2	363LP2300X	Primary Care Nurse Practitioner	9222088	FL

General Provider Information

NPI Number	:	1720066681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELA HUNT APRN

Provider Business Mailing Address
First Line	:	2066 STATE ROAD 16 W
Second Line	:
City	:	GREEN COVE SPRINGS
State	:	FL
Zip	:	32043-8526
Country	:	US
Telephone Number	:	313-485-1390
Fax Number	:

Provider Business Practice Location Address
First Line	:	2066 STATE ROAD 16 W
Second Line	:
City	:	GREEN COVE SPRINGS
State	:	FL
Zip	:	32043-8526
Country	:	US
Telephone Number	:	313-485-1390
Fax Number	:

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

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	03/12/2025

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