Individual
BAYLEE JOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14453 BEACH BLVD STE 103, JACKSONVILLE, FL 32250-2081
(904) 619-7078
Mailing address
4753 KERLE ST, JACKSONVILLE, FL 32205-4903
(904) 214-5121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006101
FL
Other
Enumeration date
05/07/2020
Last updated
12/08/2021
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