IndividualActive
Angella Bascom, A.R.N.P.
NPI 1023182656 · Family Nurse Practitioner · Jacksonville, FL
Provider details
- NPI number
- 1023182656
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- A.R.N.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN2269970 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9283 San Jose Blvd # B-2s1
Jacksonville, FL 32257-5584
Phone: (904) 268-5826
Fax: (904) 268-5826
Street-level locationGet directions
Mailing address
9283 San Jose Blvd # B-2s1
Jacksonville, FL 32257-5584
Additional practice locations (1)
- 67 Main StMedway, MA 02053-1817Phone: (866) 389-2727
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.