MY NURSE DOCTOR PRIMARY CARE LLC
NPI 1639824055
Nurse Practitioner - Family in Jacksonville, FL

Active since February 14, 2022
301 W BAY ST, JACKSONVILLE, FL 32202(904) 571-0200 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Nurse Doctor Primary Care Llc NPPES

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

MY NURSE DOCTOR PRIMARY CARE LLC (NPI 1639824055) is a healthcare organization registered as a family in Jacksonville, Florida and active in the NPI registry since February 2022. The organization lists Stephanie Speights-sellers, Owner, as its authorized official.

NPPES Registry Identity

NPI1639824055
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMY NURSE DOCTOR PRIMARY CARE LLC
Location Address301 W BAY STJacksonville, FL 32202-5184
Mailing Address301 W Bay St Ste 14529Jacksonville, FL 32202-5184 · (904) 571-0200
Organization SubpartNo
Authorized OfficialStephanie Speights-sellersOwner · (904) 571-0200
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1639824055 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
301 W BAY ST, Jacksonville, FL 32202

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

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

Internal Medicine
301 W BAY ST, EVERBANK CENTER, 6TH FLOOR
JACKSONVILLE, FL 32202

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 My Nurse Doctor Primary Care LLC's NPI number?

The NPI number for My Nurse Doctor Primary Care LLC is 1639824055. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is My Nurse Doctor Primary Care LLC located?

My Nurse Doctor Primary Care LLC is located at 301 W Bay St, Jacksonville, FL 32202. The listed phone number is (904) 571-0200.

What is My Nurse Doctor Primary Care LLC'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 My Nurse Doctor Primary Care LLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.