Thornton, Susan Williams

Thornton, Susan Williams is an individual health care provider with primary practice located at 1250 S 18Th St Ste 202 , Fernandina Beach FL 32034-4729. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thornton, Susan Williams can be contacted via phone (904) 277-4690.

Contact Information

Primary practice address
1250 S 18Th St Ste 202 Fernandina Beach FL 32034-4729
Fax: (904) 277-8487
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9238665 Florida

Profile Details

NPI number 1306246723
LBN Legal business name Thornton, Susan Williams
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2014
Last updated Jan 11th, 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 1306246723 NPPES
Florida Other OH831 MEDICARE
Florida Other RPLQI MEDICARE

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