Individual
ANGEL LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11250 BAPTIST HEALTH DR, JACKSONVILLE, FL 32218-2978
(904) 442-3358
Mailing address
11867 BARDIN RD, JACKSONVILLE, FL 32218-2103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11021480
FL
Other
Enumeration date
08/23/2022
Last updated
08/25/2022
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