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

Virginia Ann O Phillips, APRN

Individual provider Family Nurse Practitioner · NPI 1659099380

Virginia Ann O Phillips, APRN is a Nurse Practitioner in Lake City, Florida. Qualified in 2022, 4 years ago. Practices with Alex L Gonzales MD PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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

4251 NW American Ln Ste 101
Lake City, FL 32055-8845
Phone: (386) 758-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11021176 (FL)

Record details

NPI number1659099380
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alex L Gonzales Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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