Organization
B-LEEVE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUAWENDELLA BAEJUHNE SKINNER (PRESIDENT)
(904) 676-6062
Entity
Organization
Contact information
Practice address
1734 KINGSLEY AVE STE 7, ORANGE PARK, FL 32073-4418
(904) 474-9766
(866) 531-4642
Mailing address
6295 SANDS POINTE DR, MACCLENNY, FL 32063-6045
(904) 474-9766
(904) 513-9271
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
07/31/2026
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