MEDICARE: AYANNA ALLISON VERONICA SMITH 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	363LF0000X	Family Nurse Practitioner	APRN11045460	FL

General Provider Information

NPI Number	:	1962354670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYANNA ALLISON VERONICA SMITH APRN

Provider Business Mailing Address
First Line	:	2087 FOREST GATE DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-1117
Country	:	US
Telephone Number	:	347-525-3049
Fax Number	:

Provider Business Practice Location Address
First Line	:	2087 FOREST GATE DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-1117
Country	:	US
Telephone Number	:	347-525-3049
Fax Number	:

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

Similar Medicare Providers

1619959749 — LEE H PECK MD
Practice Location Address:

11240 BEACH BLVD
JACKSONVILLE, FL
32246-3802

Practice Phone: 904-265-2050
Practice Fax: 904-265-2095

1790099257 — MONEES HUSSAIN SYED M.D, MPH.
Practice Location Address:

11240 BEACH BLVD
JACKSONVILLE, FL
32246-3802

Practice Phone: 904-265-2050
Practice Fax: 904-265-2095

1316479744 — MACHEL SUZON GERMAIN M.D.
Practice Location Address:

11240 BEACH BLVD
JACKSONVILLE, FL
32246-3802

Practice Phone: 904-265-2050
Practice Fax: 904-265-2095

1255583266 — MARIA YSSA M.D.
Practice Location Address:

11240 BEACH BLVD
JACKSONVILLE, FL
32246-3802

Practice Phone: 904-265-2050
Practice Fax: 904-265-2095

1750173944 — GLADYS N MOTA DE CEDANO
Practice Location Address:

9995 GATE PKWY N STE 310
JACKSONVILLE, FL
32246-4482

Practice Phone: 904-820-2979
Practice Fax:

1427908987 — CEP AMERICA LLC
Practice Location Address:

12705 BEACH BLVD
JACKSONVILLE, FL
32246-4151

Practice Phone: 904-308-7300
Practice Fax:

Directions to “ AYANNA ALLISON VERONICA SMITH APRN” 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.