Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Apr 20, 2021
License(s)
APRN11006308 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 746647 | Atlanta, GA 30374-6647 | 904-202-2092 |
| LOCATION | 836 PRUDENTIAL DR STE 1400 | Jacksonville, FL 32207-8340 | 904-388-6518 |
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