Stock, Nadiene Ann

Stock, Nadiene Ann is an individual health care provider with primary practice located at 1301 Palm Ave , Jacksonville FL 32207-8432. 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stock, Nadiene Ann can be contacted via phone (904) 202-7300.

Contact Information

Primary practice address
1301 Palm Ave Jacksonville FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-7433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2019016553 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11019207 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2019016553 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11019207 Florida

Profile Details

NPI number 1083984306
LBN Legal business name Stock, Nadiene Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Jul 26th, 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 1083984306 NPPES
Missouri MEDICAID 420076119

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