Individual
MS. CONNIE ANN JONGEWAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-BC
Contact information
Practice address
209 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 273-6100
Mailing address
209 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 273-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3269412
FL
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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