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

Alyssa Souza

Individual provider Gerontology Nurse Practitioner · NPI 1396603338

Alyssa Souza is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2025, 1 year ago. Practices with Cardiac Vision LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026
Specialties on file
3
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Practice location Address checks out

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286
Phone: (352) 904-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 11044877 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 11044877 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 11044877 (FL)

Record details

NPI number1396603338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cardiac Vision Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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