Individual
MRS. STACY ELAINE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1275 SUMMIT OAKS DR E, JACKSONVILLE, FL 32221-3252
(904) 401-4899
Mailing address
1275 SUMMIT OAKS DR E, JACKSONVILLE, FL 32221-3252
(904) 401-4899
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
300686
FL
Other
Enumeration date
02/15/2018
Last updated
02/15/2022
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