Individual
JILLIAN MARIE LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
PO BOX 44047, JACKSONVILLE, FL 32231-4047
(904) 376-4083
(904) 391-5075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9199053
FL
363LF0000X
Family Nurse Practitioner
APRN9199053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085805-00
—
FL
05
—
509347829A
—
GA
Enumeration date
08/05/2007
Last updated
05/12/2023
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