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Michel Hartley

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 Michel Hartley 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
1265532626
Provider Type
Individual
Full Name
Hartley, Michel
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/25/2006
Last Updated
10/5/2020

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

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP1516882 Florida

Michel Hartley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Perrin, Angela Hartman

Esomonu, Chinenye

Collins, Christina I

Adams, Jeremy C

Tyle, Veronica Fernicola

Spruance, Jami

Koenig, Dayna Margaret Demarco

Avens, Nicole

Neeson, Lynn

Conigliaro, Michael Joseph