MEDICARE: MRS. ALEISHA MICHELLE GASAWAY APRN FNP

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	363LF0000X	Family Nurse Practitioner	APRN11000008	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1861976789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEISHA MICHELLE GASAWAY APRN FNP

Provider Business Mailing Address
First Line	:	13927 SHIPWRECK CIR N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-1121
Country	:	US
Telephone Number	:	904-710-9719
Fax Number	:

Provider Business Practice Location Address
First Line	:	3847 CHASING FALLS RD
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-3570
Country	:	US
Telephone Number	:	662-213-2648
Fax Number	:

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

Provider Enumeration Date	:	09/17/2018
Last Update Date	:	10/02/2019

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1891784153 — GREGORY MARK DDS
Practice Location Address:

6509 99TH ST , SUITE D
REGO PARK, NY
11374-3570

Practice Phone: 718-275-9792
Practice Fax: 718-997-8362

1356432652 — DR. RAFIK KHAIMOV MD
Practice Location Address:

6509 99TH ST
REGO PARK, NY
11374-3570

Practice Phone: 718-606-0023
Practice Fax: 718-606-2715

1033252317 — AP DENTAL CARE, PC
Practice Location Address:

6509 99TH ST , SUITE D
REGO PARK, NY
11374-3570

Practice Phone: 718-263-2040
Practice Fax: 718-263-2657

1417187097 — DR. ELEONORA KHAIMOVA MD
Practice Location Address:

6509 99TH ST
REGO PARK, NY
11374-3570

Practice Phone: 718-606-0023
Practice Fax:

1841594728 — DR. GULBAKHOR RAKHIMOVA M.D.
Practice Location Address:

6509 99TH ST , SUITE 1U
REGO PARK, NY
11374-3570

Practice Phone: 718-606-0023
Practice Fax:

Directions to “ MRS. ALEISHA MICHELLE GASAWAY APRN FNP” 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.