Individual provider · Type 1 NPI

Shelly Brock, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1861483950 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9169313 (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 1861483950

Shelly Brock, ARNP's National Provider Identifier is 1861483950, issued on Oct 29, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 13, 2017.