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

Lacy Danielle Gulledge, ARNP

Individual provider Gerontology Nurse Practitioner · NPI 1609387174

Lacy Danielle Gulledge, ARNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
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

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone: (904) 244-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence ARNP9429348 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence ARNP9429348 (FL)

Record details

NPI number1609387174
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESJanuary 30, 2018
Mailing address75338 Ravenwood Dr, Yulee, FL 32097-1609

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 Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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