Individual provider · Type 1 NPI

Lacy Danielle Gulledge, ARNP

Gerontology Nurse Practitioner · Jacksonville, FL

NPI number 1609387174 Active

Practice location

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273

Mailing address

75338 Ravenwood Dr
Yulee, FL 32097-1609

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XARNP9429348 (FL)
Acute Care Nurse Practitioner 363LA2100XARNP9429348 (FL)

Gerontology Nurse Practitioner: Definition to come...

56 other providers at this address

Other gerontology nurse practitioner providers in Jacksonville

See all in Jacksonville →

About NPI 1609387174

Lacy Danielle Gulledge, ARNP's National Provider Identifier is 1609387174, issued on Oct 23, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 30, 2018.