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

Individual provider Family Nurse Practitioner · NPI 1568954576

Gwendolyn Marie Spong, APRN is a Nurse Practitioner in St Augustine, Florida. Qualified in 2017, 9 years ago. Practices with Chma of Fl, PLLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2703 N Ponce De Leon Blvd Minute Clinic #3591 Area 4 Region 46
St Augustine, FL 32084
Phone: (904) 824-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Plantation Island Dr S Ste 106a, St Augustine, FL 32080-3109 — (904) 460-9191

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9350043 (FL)

Record details

NPI number1568954576
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Chma Of Fl, Pllc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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