Individual provider · Type 1 NPI

Susan Gorodetzky Templo, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1669617619 Active

Practice location

4331 University Blvd S
Jacksonville, FL 32216-4909

Call (904) 731-2755 Map

Fax (904) 730-7376

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP91123-2 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669617619

Susan Gorodetzky Templo, ARNP's National Provider Identifier is 1669617619, issued on Dec 4, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 4, 2008.