Individual
JELLIE ACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 866-0776
Mailing address
11265 REED ISLAND DR, JACKSONVILLE, FL 32225-4053
(904) 866-0776
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9196332
FL
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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