| Lisa A Cordell, ARNP | |
|
12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | |
| (904) 268-5561 | |
| (904) 292-9170 |
| Full Name | Lisa A Cordell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 12276 San Jose Blvd, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851600308 | NPI | - | NPPES |
| 012851500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9316298 (Florida) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | ARNP9316298 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Orange Park Medical Center | Orange park, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Family Practice Associates, Llc | 8820003411 | 52 |
| Entity Name | Memorial Family Practice Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Cordell, ARNP 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 Ph: (904) 268-5561 | Lisa A Cordell, ARNP 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 Ph: (904) 268-5561 |
Shannon Nichole Groleau, ARNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218 Phone: 904-223-3321 Fax: 904-223-2169 | |
Amber Camille Johnson, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 8283 Baymeadows Rd E Apt 1301, Jacksonville, FL 32256 Phone: 313-595-8609 | |
Oscar Angel Gomez, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5220 Belfort Rd. Suit 130, Jacksonville, FL 32256 Phone: 904-446-3760 | |
Laura Yantes, FNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4266 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-268-5200 | |
Amy B Toenjes, ARNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 14546 Old Saint Augustine Rd, Suite 301, Jacksonville, FL 32258 Phone: 904-292-4049 Fax: 904-292-4805 | |
Mr. John Marshall Waters, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-9180 | |
Amy Aparicio, CNS, MSN, RNC-OB Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7264 |