Individual
AMY JAGDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SILVER PALM AVE, MELBOURNE, FL 32901-3125
(321) 837-9015
Mailing address
109 SILVER PALM AVE, MELBOURNE, FL 32901-3125
(321) 837-9015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003269
FL
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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