Individual
JAIME WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9211079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017017800
—
FL
Enumeration date
09/28/2015
Last updated
10/21/2016
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