Individual
MR. BRANDON NEIL HILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4401 EMERSON ST STE 8, JACKSONVILLE, FL 32207-4954
(904) 387-9406
(904) 212-0381
Mailing address
4656 TUNIS STREET, JACKSONVILLE, FL 32205
(904) 662-4853
(604) 212-0381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9423141
FL
163WH0200X
Home Health Registered Nurse
RN9423141
FL
363L00000X
Nurse Practitioner
Primary
APRN11010517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100682400
—
FL
Enumeration date
09/13/2019
Last updated
04/03/2023
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