Mcintosh, Nineveh A

Mcintosh, Nineveh A is an individual health care provider with primary practice located at 30 Ardisia Lane , St. Johns FL 32259. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mcintosh, Nineveh A can be contacted via phone (904) 287-2794.

Contact Information

Primary practice address
30 Ardisia Lane St. Johns FL 32259
Phone: (904) 287-2794
Fax: (904) 390-7458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9106841 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106841 Florida

Profile Details

NPI number 1730430893
LBN Legal business name Mcintosh, Nineveh A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated Oct 20th, 2022 - about 3 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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