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

Individual provider Family Nurse Practitioner · NPI 1023182656

Angella D Bascom, ARNP is a Family Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

9283 San Jose Blvd # B-2S1
Jacksonville, FL 32257-5584
Phone: (904) 268-5826
Fax: (904) 268-5826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 67 Main St, Medway, MA 02053-1817 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9238929 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2269970 (MA)

Record details

NPI number1023182656
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 21, 2022
Mailing address9283 San Jose Blvd # B-2s1, Jacksonville, FL 32257-5584

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