Organization · Type 2 NPI
Southbrdge Health and Wellness LLC
Adult Health Nurse Practitioner · Jacksonville, FL
NPI number
1043089998
Active
Practice location
476 Riverside Ave # 1905
Jacksonville, FL 32202-4912
Fax (904) 674-1843
Mailing address
851 Southbridge Blvd
Savannah, GA 31405-1096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Rural Health Clinic/Center | 261QR1300X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Jacksonville
About NPI 1043089998
Southbrdge Health and Wellness LLC's National Provider Identifier is 1043089998, issued on Dec 20, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 20, 2023.