Provider Demographics
NPI:1083046346
Name:PECK, MARGARET LEIGH ANN (ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LEIGH ANN
Last Name:PECK
Suffix:
Gender:
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:LEIGH ANN
Other - Last Name:STACHOWIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3563 PHILIPS HWY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-5663
Mailing Address - Country:US
Mailing Address - Phone:904-202-4600
Mailing Address - Fax:
Practice Address - Street 1:3563 PHILIPS HWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-5663
Practice Address - Country:US
Practice Address - Phone:904-202-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9166681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily