Phelan, Paula R.

Phelan, Paula R. is an individual health care provider with primary practice located at 3 Shircliff Way Ste 310 , Jacksonville FL 32204-4780. 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. Phelan, Paula R. can be contacted via phone (904) 384-3699.

Contact Information

Primary practice address
3 Shircliff Way Ste 310 Jacksonville FL 32204-4780
Phone: (904) 384-3699
Fax: (904) 384-8529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1150142 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN1150142 Florida

Profile Details

NPI number 1558303040
LBN Legal business name Phelan, Paula R.
Credentials A.P.R.N., C.N.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Oct 31st, 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 1558303040 NPPES
Florida MEDICAID 307860400

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