Individual provider · Type 1 NPI

Georgette Louise Provost-Dukes, NURSE PRACTITIONER

Family Nurse Practitioner · Jacksonville, FL

NPI number 1689178667 Active

Practice location

4241 Baymeadows Rd Ste 6
Jacksonville, FL 32217-4673

Call (407) 719-5723 Map

Mailing address

3110 White Heron Trl
Orange Park, FL 32073-1644

Other practice locations

  • 3110 White Heron Trl, Orange Park, FL 32073-1644 · (407) 719-5723

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP9168198 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1689178667

Georgette Louise Provost-Dukes, NURSE PRACTITIONER's National Provider Identifier is 1689178667, issued on Mar 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 4, 2021.