Look up the most recent NPI and PECOS records

Yarlenis Miranda

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

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

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Yarlenis Miranda 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
1104437789
Provider Type
Individual
Full Name
Miranda, Yarlenis
Title
Dr.
Credential
DNP, APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
8/16/2020
Last Updated
12/1/2022

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 APRN11008650 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11008650 Florida

Yarlenis Miranda

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Jewell, Katherine Arlene

Myatt, Kaitlin Marie

Manning, Stacey A

Prussak, Karin

Mullen, Kathleen Ellen

Thornton, Lucy Holly

Pitruzzello, Nancy

Perrin, Angela Hartman

Torres, Lisa

Wylie, Natasha Subhan