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Individual

MISS BRANDY SHEREE FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4331
(904) 222-6656
(904) 222-6657
Mailing address
4197 VICTORIA LAKES DR W, JACKSONVILLE, FL 32226-0703
(904) 504-4405

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11001387
FL

Other

Enumeration date
04/21/2019
Last updated
04/21/2019
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