Conkling, Michelle A

Conkling, Michelle A is an individual health care provider with primary practice located at 1680 Eagle Harbor Pkwy Ste A , Orange Park FL 32003-4821. 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 / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Conkling, Michelle A can be contacted via phone (904) 264-9555.

Contact Information

Primary practice address
1680 Eagle Harbor Pkwy Ste A Orange Park FL 32003-4821
Phone: (904) 264-9555
Fax: (904) 215-7960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1220552 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN1220552

Profile Details

NPI number 1780617118
LBN Legal business name Conkling, Michelle A
Credentials APRN, CNM, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 23rd, 2023 - about last year

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 1780617118 NPPES
Florida MEDICAID 307775600

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