IndividualActive
Stacey Nedrud, MD, DMD
NPI 1891113205 · Oral & Maxillofacial Surgery (D.M.D.) · Jacksonville, FL
Provider details
- NPI number
- 1891113205
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DMD
- Sex
- Female
- Sole proprietor
- No
- License
- ME149400 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7711 Baymeadows Rd E Ste 7
Jacksonville, FL 32256-9110
Phone: (321) 591-1840
Approximate (ZIP-level) locationGet directions
Mailing address
7711 Baymeadows Rd E Ste 7
Jacksonville, FL 32256-9110
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.