Carol Marie Sellwood, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11027238 Issued in FL

Practice address

980 Collinswood Dr
Jacksonville, FL 32225-0852

Phone

(814) 935-7384

NPI assigned

Jul 13, 2023

Sex

Female

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

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1992484331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 COLLINSWOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250852",
            "telephone_number": "814-935-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 COLLINSWOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250852",
            "telephone_number": "814-935-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLWOOD",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odelaysi Virgen Selles Martinez X, BACB670274
• Cory Sellman
• Vicki Lorayne Sellner, O.T.R.
• George Daniel Sellock, DMD
• Debra Sells
• Joshua Edwin Sellwood, DO
• James E Seltzer, D.O.
• Melanie Kirsch Sembach, AU.D.
• Semegon Chiropractic Health Center, PA
• Bradley G Semegon, DC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.