Individual
MS. REGINA IMARI WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4645 PLANTATION OAKS BLVD, ORANGE PARK, FL 32065-3652
(904) 406-9399
(904) 406-9413
Mailing address
4645 PLANTATION OAKS BLVD, ORANGE PARK, FL 32065-3652
(904) 406-9399
(904) 406-9413
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9327002
FL
363LG0600X
Gerontology Nurse Practitioner
F3405331
NY
Other
Enumeration date
06/04/2007
Last updated
11/13/2021
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