CHARLOTTE MACK APRN
NPI 1194367383
Nurse Practitioner - Family in Fleming Island, FL

Active since October 09, 2019
1681 EAGLE HARBOR PKWY STE B, FLEMING ISLAND, FL 32003(904) 644-0092(904) 644-0099 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlotte Mack Aprn NPPES

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

CHARLOTTE MACK APRN (NPI 1194367383) is an individual family provider in Fleming Island, Florida, licensed in Florida (APRN11002748) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1194367383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLOTTE MACKCredential: APRN
Location Address1681 EAGLE HARBOR PKWY STE BFleming Island, FL 32003-4819
Mailing AddressPo Box 551308Jacksonville, FL 32255-1308 · (904) 622-9040 · Fax (904) 309-5691
Fax(904) 644-0099
Sole ProprietorYes
Enumeration DateOctober 9, 2019
Last NPPES UpdateOctober 11, 2019
NPI 1194367383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11002748
1681 EAGLE HARBOR PKWY STE B, Fleming Island, FL 32003

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003
Nurse Practitioner
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003
Nurse Practitioner
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003
Internal Medicine (Clinical Cardiac Electrophysiology)
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003
Internal Medicine (Interventional Cardiology)
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003
Internal Medicine (Clinical Cardiac Electrophysiology)
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003

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 Charlotte Mack's NPI number?

The NPI number for Charlotte Mack is 1194367383. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Charlotte Mack located?

Charlotte Mack practices at 1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003. The listed phone number is (904) 644-0092.

What is Charlotte Mack'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 Charlotte Mack was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.