Provider Demographics
NPI:1437324662
Name:STRICKLAND, MELINDA DEE (ARNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:DEE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 6TH AVE S
Mailing Address - Street 2:SUITE 500
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-4253
Mailing Address - Country:US
Mailing Address - Phone:904-224-3550
Mailing Address - Fax:
Practice Address - Street 1:850 6TH AVE S
Practice Address - Street 2:SUITE 500
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-4253
Practice Address - Country:US
Practice Address - Phone:904-224-3550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9223203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLER229YMedicare PIN
FLP01161492Medicare PIN
FLER229ZMedicare PIN