Search › Florida › 363LF0000X
Angella Bascom, A.R.N.P
NPI 1023182656 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9283 San Jose Blvd # B-2s1
Jacksonville, FL 32257 - Phone
- (904) 268-5826
- Fax
- (904) 268-5826
Additional practice sites
- 67 Main St, Medway, MA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida