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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Medical-Surgical Nurse · JACKSONVILLE, FL

Registration Details

NPI Number
1205392024
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2019 (7.2025385817217 yrs)
Last Updated
Feb 17, 2019
License
RN9302871 (FL)

Practice Information

Address
800 PRUDENTIAL DR
JACKSONVILLE, FL, 322078202
Browse FL providers · Browse ZIP 32207
Phone
9042022000
Primary Specialty
Medical-Surgical Nurse
163WM0705X

Other Medical-Surgical Nurse Providers in JACKSONVILLE, FL

Name Credential NPI
MR. BRYAN EARL WRIGHT 1689221533
RAMONA GREENE 1003458787
MR. BRADLEY JAMES WINE RN 1013553650
JASMINE BURCH RN 1811523665
HEIDI MARIE REBHOLZ 1487264636
KENDRA A GARLINGTON 1598335788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.