Organization
ST. VINCENT'S HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ANN ALLEN (CREDENTIALING COORDINATOR)
(904) 296-5690
Entity
Organization
Contact information
Practice address
3 SHIRCLIFF WAY STE 714, JACKSONVILLE, FL 32204-4786
(904) 308-2006
Mailing address
1303 WHISPERING OAK LN, DURHAM, NC 27704-5097
(919) 251-9706
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
214209
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
214209
NC
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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