Armistead, Sally Macdonald

Armistead, Sally Macdonald is an individual health care provider with primary practice located at 2140 Kingsley Ave , Orange Park FL 32073-5180. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Armistead, Sally Macdonald can be contacted via phone (904) 213-0600.

Contact Information

Primary practice address
2140 Kingsley Ave Orange Park FL 32073-5180
Phone: (904) 213-0600
Fax: (904) 213-0652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0000560 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9263604 Florida

Profile Details

NPI number 1134231236
LBN Legal business name Armistead, Sally Macdonald
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134231236 NPPES
Connecticut MEDICAID 004183448

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