Individual
CHRISTY MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 PRUDENTIAL DR STE 1700B, UNIT 1, JACKSONVILLE, FL 32207-8344
(904) 398-0125
(904) 389-1832
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 398-3760
(904) 389-1832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3222112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP3222112
ARNP LICENSE
FL
Enumeration date
08/24/2015
Last updated
11/17/2015
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