Susan Lynette Fort
Nurse Practitioner - Adult Health
2528 Nw 32nd St
Gainesville
, Florida 32605-2743
Susan Lynette Fort
Nurse Practitioner - Adult Health
2528 Nw 32nd St
Gainesville
, Florida 32605-2743
(321) 321-8780
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Susan Lynette Fort
- 2528 Nw 32nd St
- Gainesville, FL
- Zip : 32605-2743
- Fax : (321) 321-8780
- Phone : (352) 224-8161
Second Address
- Susan Lynette Fort
- 2528 Nw 32nd St
- Gainesville, FL
- Zip : 32605-2743
- Fax : (321) 320-8780
- Phone : (352) 224-8161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 3295302 | FL |
National Provider Identifier
| NPI | 1003117532 |
|---|---|
| Provider Name | Susan Lynette Fort |
| First Address | Gainesville, FL 32605-2743 |
| Second Address | Gainesville, FL 32605-2743 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2010 |
| Last Update Date | 30/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.