Individual
MICHELLE WALTZ BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP-BC
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11012933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194005199
—
VA
05
—
7005620
—
NC
Enumeration date
08/22/2011
Last updated
10/30/2025
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