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Individual

MRS. AUTUMN DELAIN JUSIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
791 NW SAVANNAH CIR, LAKE CITY, FL 32055-8826
(386) 466-2827
Mailing address
791 NW SAVANNAH CIR, LAKE CITY, FL 32055-8826
(386) 466-2827

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11047545
FL
363L00000X
Nurse Practitioner
Primary
RN9552892
FL

Other

Enumeration date
04/21/2026
Last updated
05/12/2026
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