Provider Demographics
NPI: | 1134653116 |
---|---|
Name: | BYRD, CLAIRE J (APRN,FNP-C) |
Entity type: | Individual |
Prefix: | |
First Name: | CLAIRE |
Middle Name: | J |
Last Name: | BYRD |
Suffix: | |
Gender: | F |
Credentials: | APRN,FNP-C |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 746638 |
Mailing Address - Street 2: | |
Mailing Address - City: | ATLANTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30374-6638 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 904-202-2092 |
Mailing Address - Fax: | 904-376-4075 |
Practice Address - Street 1: | 9090 REGENCY SQUARE BLVD |
Practice Address - Street 2: | |
Practice Address - City: | JACKSONVILLE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32211-8119 |
Practice Address - Country: | US |
Practice Address - Phone: | 904-724-5576 |
Practice Address - Fax: | 904-390-7508 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-04-17 |
Last Update Date: | 2025-08-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | APRN9239773 | 163WN0800X, 363LF0000X, 363L00000X, 363L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
No | 163WN0800X | Nursing Service Providers | Registered Nurse | Neuroscience |
No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |