Individual
AMY B NOZZOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
655 W. 8TH STREET, UFJAX - DEPT. OF PEDIATRICS/NEONATOLOGY, JACKSONVILLE, FL 32209
(904) 244-5100
(904) 244-4301
Mailing address
P.O. BOX 44008, UFJAX - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP9259115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130445A
—
GA
05
—
0079645-00
—
FL
Enumeration date
09/13/2012
Last updated
05/20/2013
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