Individual
CHRISTINA P BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207-8344
(904) 398-0125
(904) 376-3206
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11030441
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11030441
FL
Other
Enumeration date
03/14/2024
Last updated
11/13/2025
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