| William Nields, Pllc | |
|
1539 Parental Home Rd Jacksonville FL 32216-3009 | |
| (904) 923-3484 | |
| Not Available |
| Full Name | William Nields, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1539 Parental Home Rd, Jacksonville, Florida |
| Authorized Official Name and Position | William Nields (MD/OWNER) |
| Authorized Official Contact | 9049233484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Nields, Pllc 1539 Parental Home Rd Jacksonville FL 32216-3009 Ph: (042) 906-0289 | William Nields, Pllc 1539 Parental Home Rd Jacksonville FL 32216-3009 Ph: (904) 923-3484 |
| NPI Number | 1780240754 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 06/13/2019 |
| Medicare PECOS PAC ID | 1355678632 |
|---|---|
| Medicare Enrollment ID | O20190808003015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780240754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | William W Nields |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972587848 PECOS PAC ID: 3779582499 Enrollment ID: I20130930000511 |
| Provider Name | Clyde Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229718 PECOS PAC ID: 6901149483 Enrollment ID: I20211006000096 |
| Provider Name | Susan G Spell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205071875 PECOS PAC ID: 4082898630 Enrollment ID: I20211025001719 |
| Provider Name | Caroline Snelwar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225650484 PECOS PAC ID: 4688064314 Enrollment ID: I20211210002164 |
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