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Ana Gabriela Ahn

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as ANA AHN.

Based on the most recent information from CMS, provider Ana Gabriela Ahn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1043816291
Provider Type
Individual
Full Name
Ahn, Ana Gabriela
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
12/11/2020
Last Updated
2/11/2021

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11008197 Florida

Ana Gabriela Ahn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Inabinett, Samantha R

Tippitt, Amanda

Peacock, Sarah

Spicer, Lakesha Nichole

Mutz, Elizabeth Gatch

Tyle, Veronica Fernicola

Clark, Brooke L

Hemminger, Lois

Brown, Alethea Brooke

Prussak, Karin