Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Courtney Ann Angelino, APRN-C

Individual provider Gerontology Nurse Practitioner · NPI 1124838701

Mrs. Courtney Ann Angelino, APRN-C is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

14043 N Main St
Jacksonville, FL 32218-1707
Phone: (904) 902-1201
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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 APRN11037422 (FL)

Record details

NPI number1124838701
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 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 Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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