| Lisa Richardson, APRN | |
|
1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003-4819 | |
| (904) 644-0092 | |
| (904) 644-0099 |
| Full Name | Lisa Richardson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 1681 Eagle Harbor Pkwy Ste B, Fleming Island, 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 |
|---|---|---|---|
| 1922168491 | NPI | - | NPPES |
| Y05WA | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN3165542 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange Park Medical Center | Orange park, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Coast Cardiovascular Institute, Llc | 6002803020 | 43 |
| Entity Name | First Coast Cardiovascular Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841307857 PECOS PAC ID: 6002803020 Enrollment ID: O20040429001248 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Richardson, APRN Po Box 551308, Jacksonville, FL 32255-1308 Ph: (904) 493-3333 | Lisa Richardson, APRN 1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003-4819 Ph: (904) 644-0092 |
Dian S Trent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003 Phone: 904-264-1204 Fax: 904-264-1227 | |
Mrs. Kimberly Simon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885 | |
Vanessa Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003 Phone: 904-400-4315 | |
Brenda Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003 Phone: 786-426-7972 | |
Saphina Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003 Phone: 904-269-6526 Fax: 904-269-6527 | |
Mr. Scott Alan Shirley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003 Phone: 904-886-9686 Fax: 904-253-6964 | |
Mrs. Candice Christina O'connell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1929 Adler Nest Ln, Fleming Island, FL 32003 Phone: 904-626-8010 |