Compton, Constance Grace

Compton, Constance Grace is an individual health care provider with primary practice located at 1325 San Marco Blvd Ste 300 , Jacksonville FL 32207-8567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Compton, Constance Grace can be contacted via phone (904) 253-6910.

Contact Information

Primary practice address
1325 San Marco Blvd Ste 300 Jacksonville FL 32207-8567
Phone: (904) 253-6910
Fax: (904) 253-6964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 11014160 Florida

Profile Details

NPI number 1750954046
LBN Legal business name Compton, Constance Grace
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2021
Last updated Dec 15th, 2022 - about 2 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 1750954046 NPPES
Florida MEDICAID 111529700

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