James Lee Quinlan, DNP, ARNP
Individual provider Active NPI Pediatric Nurse Practitioner · Williston, FL
NPI 1225052087 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1225052087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- ARNP2536632 (FL)
- Practice address
- 223 N. Main Street
Williston, FL 32696-2136 - Phone
- (352) 529-0477
- Fax
- (352) 529-0406
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2536632 | FL | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- james.quinlan@willistonpeds.officeally.direct
- jamesquinlan@willistonpeds.directglo.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP2536632 | FL | Yes |
Addresses
Primary practice location
223 N. Main Street
Williston, FL 32696-2136
Mailing address
223 N. Main Street
Williston, FL 32696-2136
Phone (352) 529-0477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302886100 | Medicaid | FL |
Other providers in Williston, FL
- Patricia Ann Perkins
- Phi 413, Inc Dba Good Samaritan Retirement Home
- Pry Inc
- Quality Care Transport Solutions
- Quick Care Med, LLC
- Jacqueline Lewis Ramirez
- Kolli Prabhakara Reddy
- Regional Health Partners LLC
- Regional Health Partners LLC
- Regional Health Partners LLC
All providers in Williston, FL · Pediatric Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.