Individual provider · Type 1 NPI
Michael Eric Bristow, ARNP
Gerontology Nurse Practitioner · Jacksonville, FL
NPI number
1003312539
Active
Practice location
11481 Old Saint Augustine Rd Ste 303
Jacksonville, FL 32258-1476
Fax (904) 580-4740
Mailing address
5150 Belfort Rd, Bldg 400
Jacksonville, FL 32256-6026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 3200922 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1003312539
Michael Eric Bristow, ARNP's National Provider Identifier is 1003312539, issued on Apr 3, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 2, 2020.