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NPI Code Detail

MEDICARE: MEGHAN JONATHAN APRN

MEDICARE: MEGHAN JONATHAN 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
1363LF0000XFamily Nurse PractitionerAPRN11014615FL
2363LF0000XFamily Nurse Practitioner341785NY
3363L00000XNurse PractitionerAPRN11014615FL

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 : 1861960122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN JONATHAN APRN
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 : 950 MARSH LANDING PKWY STE 105B
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-1408
Country : US
Telephone Number : 904-376-4900
Fax Number : 904-390-7546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 03/02/2026

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Directions to “ MEGHAN JONATHAN APRN” Practice Location

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