Mendenhall, Nancy P.

Mendenhall, Nancy P. is an individual health care provider with primary practice located at 2015 Jefferson St , Jacksonville FL 32206-3531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Mendenhall, Nancy P. can be contacted via phone (904) 588-1263.

Contact Information

Primary practice address
2015 Jefferson St Jacksonville FL 32206-3531
Phone: (904) 588-1263
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME39054 Florida

Profile Details

NPI number 1407817927
LBN Legal business name Mendenhall, Nancy P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Dec 13th, 2011 - about 15 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 1407817927 NPPES
Georgia MEDICAID 000415632E
Georgia MEDICAID 0686042-00
Georgia Other 920006634
Georgia MEDICAID 068604200

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