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

Individual provider Family Nurse Practitioner · NPI 1023182656

Angella D Bascom, ARNP is a Family Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2006
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

9283 San Jose Blvd # B-2S1
Jacksonville, FL 32257-5584
Phone: (904) 268-5826
Fax: (904) 268-5826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 67 Main St, Medway, MA 02053-1817 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9238929 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2269970 (MA)

Record details

NPI number1023182656
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 21, 2022

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