Individual
MARY LEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1940
(904) 720-0599
(904) 720-5225
Mailing address
1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1940
(904) 720-0599
(904) 720-5225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1057712
FL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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