M Nan Jobson PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1438 Issued in FL

Legal business name

M NAN JOBSON PA

Practice address

9951 Atlantic Blvd
Suite 418
Jacksonville, FL 32225-6584

Phone

(904) 493-2105

Fax

(904) 493-2104

NPI assigned

Jan 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha Nan Jobson, LCSWNPI 1780642959

Title

President

Phone

(904) 493-2105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Nan Jobson, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1780642959
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801946322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 418",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256584",
            "telephone_number": "904-493-2105",
            "fax_number": "904-493-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 418",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256584",
            "telephone_number": "904-493-2105",
            "fax_number": "904-493-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M NAN JOBSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOBSON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "NAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-493-2105",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lysandro O. Tapnio DMD PA
• Lysandro O. Tapnio DMD PA
• Sydnie Lee Lytle, PA-C
• Megan Lytus, DO
• M & M Rehab Inc
• M. Khal Aboudan, MD
• M.W. Kilgore, II, M.D., P.a.
• M'Bodi LLC
• M&D Provider Services, Inc
• M&M Supportive Living Services

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.