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NPI Code Detail

MEDICARE: ANGIE LEIGH DUGUAY FNP-BC

MEDICARE: ANGIE LEIGH DUGUAY FNP-BC
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
1363LA2200XAdult Health Nurse PractitionerAPRN11000692FL
2363L00000XNurse PractitionerAPRN11000692FL
3363LF0000XFamily Nurse PractitionerAPRN11000692FL

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 : 1750844783
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIE LEIGH DUGUAY FNP-BC
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 820 PRUDENTIAL DR STE 304
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8205
Country : US
Telephone Number : 904-202-3860
Fax Number : 904-202-3846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2019
Last Update Date : 12/04/2025

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Directions to “ ANGIE LEIGH DUGUAY FNP-BC” Practice Location

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