GEORGETTE LOUISE PROVOST-DUKES NURSE PRACTITIONER
NPI 1689178667
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Georgette Provost-dukes's NPI number?

The NPI number for Georgette Provost-dukes is 1689178667. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Q: What is Georgette Provost-dukes's specialty?

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

Active since March 22, 2018

4241 BAYMEADOWS RD STE 6, JACKSONVILLE, FL 32217(407) 719-5723 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2021, Mar 22, 2018 (2 updates tracked since 2018).

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About Georgette Louise Provost-dukes Nurse Practitioner NPPES

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

GEORGETTE LOUISE PROVOST-DUKES NURSE PRACTITIONER (NPI 1689178667) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9168198) and active in the NPI registry since March 2018. She maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1689178667

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGEORGETTE LOUISE PROVOST-DUKESCredential: NURSE PRACTITIONER

Location Address4241 BAYMEADOWS RD STE 6Jacksonville, FL 32217-4673

Mailing Address3110 White Heron TrlOrange Park, FL 32073-1644 · (407) 719-5723

Phone(407) 719-5723

Sole ProprietorYes

Enumeration DateMarch 22, 2018

Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1689178667 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 · ARNP9168198

4241 BAYMEADOWS RD STE 6, Jacksonville, FL 32217

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Secondary Practice Location 1

Location 13110 White Heron TrlOrange Park, FL 32073-1644 · Phone (407) 719-5723

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.

LILLYS MEDICAL CENTER LLC

Nurse Practitioner (Primary Care)

4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL 32217

Duval County (407) 719-5723

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 Georgette Provost-dukes's NPI number?

The NPI number for Georgette Provost-dukes is 1689178667. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Georgette Provost-dukes located?

Georgette Provost-dukes practices at 4241 Baymeadows Rd Ste 6, Jacksonville, FL 32217. The listed phone number is (407) 719-5723.

What is Georgette Provost-dukes'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 Georgette Provost-dukes was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.