Individual
MRS. JACQUELINE FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-6712
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2107012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR276X
MEDICARE
FL
Enumeration date
01/19/2007
Last updated
04/09/2019
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