Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Mary's Place

Organization Pediatric Nurse Practitioner · NPI 1164751707

Dr Mary's Place is a Pediatric Nurse Practitioner in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

4051 Atlantic Blvd
Jacksonville, FL 32207-2036
Phone: (904) 393-4700
Fax: (904) 493-9700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence ARNP9271693 (FL)

Record details

NPI number1164751707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cara D'Amico — Pediatric Arnp · (904) 642-6100
NPI enumeratedDecember 10, 2009
Last updated in NPPESApril 29, 2011
Mailing address4051 Atlantic Blvd, Jacksonville, FL 32207-2036

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