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Individual

ASHLEY BRISCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
699 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3577
(321) 434-6650
(321) 434-5864
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-6650

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9302177
FL
363LF0000X
Family Nurse Practitioner
APRN9302177
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104170100
FL
01
S5272
MEDICARE HF
FL
Enumeration date
12/16/2018
Last updated
06/14/2024
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