Individual
MRS. MEGANN COLWELL SPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
5 WYNMORE DR, DURHAM, NC 27713-8134
(267) 337-1326
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
104387155
NC
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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