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Individual

JODY KRISTIN PROPST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
5491 DOLPHIN POINT BLVD STE 1300, JACKSONVILLE, FL 32211-3221
(904) 256-8080
Mailing address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3394
(904) 256-8000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9320843
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9320843
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017162800
FL
Enumeration date
02/24/2016
Last updated
04/15/2024
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