in Jacksonville - Nurse Practitioner

- NPI 1639120249

is a Nurse Practitioner in Jacksonville, Florida. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1639120249. The last update date is .

's current location address is 515 W 6th St, Jacksonville, Florida. You can contact this provider via phone number 9046652410 and fax number 9046303316. The mailing address for is 515 W 6th St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 515 W 6th St, Jacksonville, Florida
Phone Number 9046652410
Fax Number 9046303316
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1639120249
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 515 W 6th St
City Jacksonville
State Florida (FL)
Post Code 322064324
Phone Number 9046652410
Fax Number 9046303316

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No ARNP932512
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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