Organization · Type 2 NPI
Gerisource
Gerontology Nurse Practitioner · Jacksonville, FL
NPI number
1871894972
Active
Practice location
11812 Crusselle Dr
Jacksonville, FL 32223-0876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 9260038 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Jacksonville
About NPI 1871894972
Gerisource's National Provider Identifier is 1871894972, issued on Nov 6, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 6, 2010.