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

Jetia Lasonja Scales, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1740098946

Jetia Lasonja Scales, AGNP-C is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Symphony Specialty Group, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

8613 Old Kings Rd S Ste 602
Jacksonville, FL 32217-4863
Phone: (904) 504-5225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11036888 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11036888 (FL)

Record details

NPI number1740098946
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedDecember 20, 2024
Last updated in NPPESMarch 22, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Symphony Specialty Group, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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