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JOSEPH MICHAEL FITZGERALD FNP
NPI 1053071845
Nurse Practitioner - Family in Saint Augustine, FL

Active since December 21, 2021
319 W TOWN PL STE 1, SAINT AUGUSTINE, FL 32092(904) 940-1477 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2024, Aug 8, 2022, Dec 21, 2021 (3 updates tracked since 2021).

About Joseph Michael Fitzgerald Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH MICHAEL FITZGERALD FNP (NPI 1053071845) is an individual family provider in Saint Augustine, Florida, licensed in Tennessee (0000031190) and active in the NPI registry since December 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053071845
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSEPH MICHAEL FITZGERALDCredential: FNP
Location Address319 W TOWN PL STE 1Saint Augustine, FL 32092-3102
Mailing Address319 W Town Pl Ste 1Saint Augustine, FL 32092-3102 · (904) 955-1473
Phone(904) 940-1477
Sole ProprietorNo
Enumeration DateDecember 21, 2021
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1053071845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 0000031190
Also ListedRegistered NurseTaxonomy 163W00000X · License 95167477 (CA)
319 W TOWN PL STE 1, Saint Augustine, FL 32092
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Secondary Practice Locations 2

Location 1130 Seaboard Ln Ste A10Franklin, TN 37067-8221 · Phone (629) 225-7693
Location 227612 Avenida Del MesaRancho Palos Verdes, CA 90275-1003 · Phone (904) 955-1473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Fitzgerald's NPI number?

The NPI number for Joseph Fitzgerald is 1053071845. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Where is Joseph Fitzgerald located?

Joseph Fitzgerald practices at 319 W Town Pl Ste 1, Saint Augustine, FL 32092. The listed phone number is (904) 940-1477.

What is Joseph Fitzgerald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Joseph Fitzgerald was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.