PARAGON WOUND CARE
NPI 1568296689
Nurse Practitioner in Jacksonville, FL

Q: What is Paragon Wound Care's NPI number?

The NPI number for Paragon Wound Care is 1568296689. It was assigned to this organization in the NPPES registry on August 30, 2024.

Q: What is Paragon Wound Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 30, 2024

12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(904) 404-0093(904) 404-0093 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Paragon Wound Care NPPES

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

PARAGON WOUND CARE (NPI 1568296689) is a healthcare organization registered as a nurse practitioner in Jacksonville, Florida and active in the NPI registry since August 2024. The organization lists Sergey Smirnov, President, as its authorized official.

NPPES Registry Identity

NPI1568296689

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePARAGON WOUND CARE

Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486

Mailing Address255 Rivertown Shops Dr Ste 102St Johns, FL 32259-7507

Phone(904) 404-0093

Fax(904) 404-0093

Organization SubpartNo

Authorized OfficialSergey SmirnovPresident · (904) 404-0093

Enumeration DateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1568296689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CARL STEVENS

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