Eduardo Corvison, RN

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

RN 9345351 Issued in FL

Practice address

2104 Massey Ave
NBHC Naval Station Mayport
Jacksonville, FL 32228-0148

Phone

(904) 270-4229

Fax

(904) 827-4485

NPI assigned

Jan 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1982141057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 MASSEY AVE",
            "address_2": "NBHC NAVAL STATION MAYPORT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322280148",
            "telephone_number": "904-270-4229",
            "fax_number": "904-827-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 MASSEY AVE",
            "address_2": "NBHC NAVAL STATION MAYPORT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322280148",
            "telephone_number": "904-270-4229",
            "fax_number": "904-827-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVISON",
        "first_name": "EDUARDO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "FL",
            "license": "RN 9345351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, FL
• Occupational Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.